Nokea
What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
- A. Infant care
- B. Breastfeeding
- C. Gestational diabetes
- D. Sources of financial aid
- E. Yoga
Correct Answer: A,B,C
Rationale: Prenatal classes include such topics as infant care, breastfeeding, gestational diabetes, exercising, and sibling and grandparent preparation. Yoga and financial information are not traditional content for prenatal instruction.
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A woman in labor will receive general anesthesia prior to cesarean section. The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery. What will this prevent?
- A. Nausea and vomiting
- B. Vomiting and aspiration
- C. Abdominal cramping
- D. Intestinal obstruction
Correct Answer: B
Rationale: The major adverse effect of general anesthesia is aspiration of stomach contents.
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.
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.
The physician has ordered Fentanyl (Sublimaze) for a woman in labor and has asked the nurse to provide patient education. What will the nurse include in the educational plan? (Select all that apply.)
- A. Onset is slow.
- B. Duration is short.
- C. Administration is by mouth.
- D. No known side effects.
- E. It is not the same drug as sufentanil.
Correct Answer: B,E
Rationale: Fentanyl has a rapid onset and short duration of action. Fentanyl, sufentanil, and alfentanil are not the same drugs. Fentanyl can cause respiratory depression but less than meperidine. It is not administered by mouth.
The nurse is providing a conference on nonpharmacological pain control methods. What major advantages of nonpharmacological pain control methods will the nurse include in the presentation? (Select all that apply.)
- A. They sedate the mother.
- B. They do not slow labor.
- C. They do not dull the excitement of the birth experience.
- D. They do not have the potential to cause allergic reactions.
- E. They do not have to be delayed until labor is well established.
Correct Answer: B,C,D,E
Rationale: All the options mentioned are benefits of nonpharmacological pain control methods with the exception of sedating the mother.