A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestation is admitted in labor. Contractions o

Discussion in 'USMLE Step 2 CK' started by samuel, Dec 23, 2014.

  1. samuel

    samuel New Member

    A 19-year-old woman, gravida 2, para 1, at 39
    weeks' gestation
    is admitted in labor. Contractions occur every 2 to 3
    minutes. The
    cervix is 4 cm dilated and 80% effaced. She requests
    an epidural for pain
    control. Ten minutes after the epidural is
    administered, she becomes
    nauseated and diaphoretic and vomits. Her blood
    pressure is 60/palpable
    mm Hg. A fetal heart tracing shows sustained fetal
    decelerations. The
    cervix is now 8 cm dilated. The most appropriate next
    step in
    management is administration of which of the
    following?

    A
    ) Ephedrine

    B
    ) Magnesium sulfate

    C
    ) Nifedipine

    D
    ) Oxytocin

    E
    ) Terbutaline

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