A nurse is caring for a woman who is going to have an epidural block. The physician orders that an IV be started. Which of the following solutions would be appropriate for the nurse to choose? (Select all that apply.)
A.
D5 (5% dextrose) with 0.45 normal saline (NS)
B.
D5 and water (D5W)
C.
Lactated Ringer's (LR) solution
D.
Normal saline (NS)
E.
Normal saline (NS) with 10% dextrose
ANS: C, D
Most institutions use dextrose-free IV solutions for women in labor because dextrose can cause fetal hyperglycemia with rebound hypoglycemia in the few hours after birth. The other three options all contain dextrose.
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