# Tutor profile: Morgan E.

## Questions

### Subject: Nursing

Your patient is a 30 year old G4P3 who is 38 weeks pregnant. She is 6cm/100%/-2 on 6mU/min of Oxytocin and requesting an epidural for pain. You are watching the monitor and notice a late deceleration in the fetal heart rate. What is your priority? A. Call anesthesia for epidural placement. B. Stop Oxytocin infusion. C. Change maternal position. D. Call the physician.

Correct Answer: C. change maternal position First you need to pull out the important parts of the question: she's in labor, on oxytocin, and has a LATE deceleration. Now what is the question asking? For the Priority Her pain is not a priority, the fetal heart rate is, so you wouldn't call anesthesia first. You would want to try something before calling the physician, there are several things you can do to potentially fix the fetal heart rate on your own. While stopping the Oxytocin infusion is something you can do as a nurse to improve the fetal heart rate, you always want to try the least invasive intervention first. By changing the maternal position you are helping to hopefully get better blood flow to the fetus. If that doesn't work then you might stop the Oxytocin or call the MD, but a position change would be the priority in this instance.

### Subject: Basic Math

There are 150 pieces of candy in a jar. Sarah take 25 pieces out of the jar. Josh take 30 pieces out of the jar. Riley puts 20 pieces into the jar. How many pieces of candy are in the jar now?

We start with 150 pieces of candy. 150 Sarah takes 25 pieces, so we subtract 25. -25 Total: 125 Josh takes 30 pieces, so we subtract 30 -30 Total: 95 Riley puts 20 pieces in, so we add 20 +20 Final Total: 115

### Subject: Algebra

Solve for x. 3(2x + 4) = 8x

Start by multiplying 2x and 4 by 3 3 times 2x + 3 times 4 = 8x That then turns into 6x + 12 = 8x Then move the x's to the same side. 6x + 12 - 6x = 8x - 6x 12 = 2x Then divide both sides by 2 to get x by itself. 12/2 = 2x/2 6 = x The answer is x = 6