A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

Vomiting

Tachycardia

Hypotension

Respiratory depression

Answer and Explanation

The Correct Answer is C

A)   Vomiting: Vomiting is not a common complication of epidural anesthesia. Nausea can occur but is not directly related to the epidural block itself.
B)   Tachycardia: Tachycardia is not a common complication of epidural anesthesia. It may occur due to other factors, but it is not directly associated with the epidural block.
C)   Hypotension: Hypotension (low blood pressure) is a common complication of epidural anesthesia. The epidural can cause vasodilation, leading to a drop in blood pressure. It is essential to monitor the client's blood pressure and intervene promptly if hypotension occurs.
D)   Respiratory depression: Respiratory depression is not a typical complication of epidural anesthesia. Epidural anesthesia mainly affects the lower part of the body and does not usually cause significant respiratory effects.

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Correct Answer is D

Explanation

Choice A: Fetal lung maturity is not assessed through maternal serum alphafetoprotein testing. It is usually evaluated through tests such as amniocentesis or specialized ultrasound examinations closer to the third trimester.
Choice B: The maternal serum alphafetoprotein test specifically screens for certain birth defects and genetic conditions in the fetus, rather than general signs of physical and physiological
wellbeing.

Choice C: The maternal serum alphafetoprotein test is not used to identify Rh incompatibility. Rh incompatibility is determined through blood tests that assess the Rh factor of the mother's blood and the Rh status of the baby.
Choice D: The maternal serum alphafetoprotein test is a blood screening test that can identify neural tube defects (such as spina bifida) and chromosomal abnormalities (such as Down syndrome) in the fetus. The test measures the levels of alphafetoprotein in the mother's blood, and abnormal levels may indicate the need for further diagnostic testing.

A. "This will determine if there is more than one fetus." B. "It assists in identifying the location of the placenta and fetus." C. "This is a screening tool for spina bifida." D. "It is useful for estimating fetal age."

Correct Answer is B

Explanation

Choice A: An ultrasound can indeed determine the number of fetuses if a client is carrying multiples, but this is not the primary reason for performing an ultrasound before amniocentesis.

Choice B: An ultrasound is typically done before an amniocentesis to visualize the location of the placenta and fetus. This information is important to ensure that the amniocentesis needle is safely inserted away from the placenta and the fetus.

Choice C: The primary purpose of an amniocentesis is to obtain a sample of amniotic fluid to screen for genetic conditions, not specifically for spina bifida.

Choice D: Fetal age can be estimated through an ultrasound, but this is not the primary reason for performing an ultrasound before an amniocentesis. The main goal of the procedure is to obtain a sample of amniotic fluid for genetic testing.

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A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a maternal serum alphafetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

Correct Answer is D

Explanation

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Correct Answer is B

Explanation

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