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3. What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
Select one:
A. Bladder for distention
B. Intravenous fluid flow rate
C. Blood pressure
D. Sensation in the lower extremities
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1. A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
Select one:
A. It may result in respiratory depression to the newborn.
B. It will have no complications for the mother or infant.
C. It will speed up labor and increase pain.
D. It can cause medication given at later stages to be ineffective.
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13. 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.)
Select one or more:
A. Duration is short.
B. Onset is slow.
C. Administration is by mouth.
D. No known side effects.
E. It can cause respiratory depression.
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11. A patient who received an epidural block asks why her blood pressure is taken so often. What is the nurse’s best response to explain the frequent blood pressure assessments?
Select one:
A. They monitor the progress of labor.
B. They ensure adequate placental perfusion.
C. They help assess for the need for further pain relief.
D. They ensure that unsafe levels of hypertension do not occur.
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7. 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?
Select one:
A. It takes a few minutes after the medicine is administered to make me feel numb.
B. I’ll get the pudendal block right before I deliver.
C. I’m having a contraction. Can I get the pudendal block now?
D. The nurse midwife will insert the needles into my vagina.
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10. The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
Select one:
A. Covering her face with her hands
B. Frequently asking for ice chips
C. Facial grimacing
D. Changing positions in bed
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9. 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?
Select one:
A. History of migraine headaches
B. History of diabetes mellitus
C. Abnormal clotting
D. Previous cesarean delivery
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5. Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?
Select one:
A. Hydroxyzine (Vistaril)
B. Nitrous oxide
C. Naloxone (Narcan)
D. Phenobarbital
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2. 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
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting, Please give me something for the pain. I can’t take the pain! What is the priority nursing diagnosis?
A. Knowledge deficit related to the birth experience
B. Ineffective coping related to inadequate preparation for labor
C. Pain related to uterine contractions
D. Risk for injury
4. A woman in labor has had an epidural block for pain relief. The nurse will be assessing carefully for what associated side effect of this type of regional anesthesia?
Select one:
A. Reduced fetal heart rate
B. Bladder distention
C. Long, intense contractions
D. Sudden leg cramps
6. The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia?
Select one:
A. Keep legs flexed.
B. Restrict oral fluids.
C. Walk with assistance as soon as possible.
D. Lie flat for several hours.