Nokea
Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?
- A. Hypertension
- B. Anxiety
- C. Anoxia
- D. Hyperventilation
Correct Answer: D
Rationale: Hyperventilation is sometimes a problem if a woman is breathing rapidly.
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What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
- A. Bladder for distention
- B. Blood pressure
- C. Sensation in the lower extremities
- D. Intravenous fluid flow rate
Correct Answer: B
Rationale: Blood pressure is checked every 5 minutes when the epidural block is first begun. Bladder assessment is also important but not an initial assessment.
How does the pain of childbirth differ from other types of pain? (Select all that apply.)
- A. Childbirth pain is part of a normal process.
- B. Childbirth pain seldom needs narcotic relief.
- C. Position changes relieve pain and facilitate delivery.
- D. Childbirth pain declines following birth.
- E. Childbirth pain is self-limited.
Correct Answer: A,C,D,E
Rationale: Childbirth pain differs from other types of pain, because it is part of a normal, natural, and expected process, can be relieved by change of position, declines immediately following birth, and is self-limiting. Childbirth pain requires pharmacological management with narcotics in many cases.
When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. What is a contraindication to an epidural block?
- A. Abnormal clotting
- B. Previous cesarean delivery
- C. History of migraine headaches
- D. History of diabetes mellitus
Correct Answer: A
Rationale: An epidural block is not used if a woman has abnormal blood clotting.
A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?
- A. I'm having a contraction. Can I get the pudendal block now?'
- B. I'll get the pudendal block right before I deliver.'
- C. The nurse-midwife will insert the needles into my vagina.'
- D. It takes a few minutes after the medicine is administered to make me feel numb.'
Correct Answer: A
Rationale: The pudendal block does not block pain from contractions and is given just before birth.
Which position(s) and exercise(s) will the nurse teach as beneficial in combating discomfort in the later stages of pregnancy? (Select all that apply.)
- A. Leg lifts
- B. Pelvic rock
- C. Tailor sitting
- D. Sit-ups
- E. Shoulder curling
Correct Answer: B,C,E
Rationale: Pelvic rock, tailor sitting, and shoulder curling are beneficial to the muscles that will have to adapt to the extra weight and changed posture of later pregnancy. Leg lifts and sit-ups are not beneficial, because they both increase intra-abdominal pressure.