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Question 1Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text3. What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?Select one:A. Bladder for distentionB. Intravenous fluid flow rateC. Blood pressureD. Sensation in the lower extremitiesQuestion 2Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text1. 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.Question 3Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text13. 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.Question 4Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text11. 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.Question 5Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text7. 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.Question 6Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text10. 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 handsB. Frequently asking for ice chipsC. Facial grimacingD. Changing positions in bedQuestion 7Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text9. 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 headachesB. History of diabetes mellitusC. Abnormal clottingD. Previous cesarean deliveryQuestion 8Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text5. Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?Select one:A. Hydroxyzine (Vistaril)B. Nitrous oxideC. Naloxone (Narcan)D. PhenobarbitalQuestion 9Not yet answeredMarked out of 1.00 Not flaggedFlag questionQuestion text2. 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 preventAn 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 experienceB. Ineffective coping related to inadequate preparation for laborC. Pain related to uterine contractionsD. 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 rateB. Bladder distention C. Long, intense contractionsD. Sudden leg cramps6. 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.
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