A nurse is assessing a client in labor who has had epidural esthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Hypotension
Respiratory depression
Tachycardia
Vomiting
The Correct Answer is A
A. Hypotension: This is the correct answer. Hypotension, or low blood pressure, is a common side effect of epidural anesthesia. The epidural can block sympathetic nerves, which can cause blood vessels to dilate and lead to a drop in blood pressure.
B. Respiratory depression: While respiratory depression can occur with certain types of anesthesia, it is not a common side effect of epidural anesthesia.
C. Tachycardia: Tachycardia, or rapid heart rate, is not a typical side effect of epidural anesthesia.
D. Vomiting: Nausea and vomiting can occur with any type of anesthesia, but they are not specific to epidural anesthesia and are not the most common complication. Hypotension is a more common and significant complication that should be monitored for in a client who has had an epidural block.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increase intake of iron-rich foods: While iron is important during pregnancy for the production of hemoglobin and prevention of anemia, it does not specifically reduce the risk of neural tube defects.
B. Limit alcohol consumption: While limiting alcohol consumption is crucial during pregnancy to prevent fetal alcohol syndrome, it does not specifically reduce the risk of neural tube defects.
C. Consume foods fortified with folic acid: This is the correct choice. Folic acid is vital in the early stages of pregnancy to help form the neural tube. It can help prevent major birth defects of the baby’s brain and spine.
D. Avoid foods containing aspartame: While it’s generally a good idea to limit consumption of artificial sweeteners during pregnancy, aspartame does not specifically contribute to neural tube defects. However, women with a rare genetic disorder called phenylketonuria (PKU) should avoid aspartame during pregnancy. PKU is a rare condition in which a baby is born without the ability to properly break down an amino acid called phenylalanine. Phenylalanine can cause brain damage. But aspartame does not specifically reduce the risk of neural tube defects
Correct Answer is C
Explanation
A. Accelerations: These are usually a good sign and indicate that the fetus is well-oxygenated.
B. Late decelerations: These are a sign of uteroplacental insufficiency, not a problem with the umbilical cord. They occur when the blood supply to the placenta is reduced during contractions, leading to a decrease in oxygen supply to the fetus.
C. Variable decelerations: This is the correct choice. Variable decelerations can be an indication of umbilical cord compression. They are called “variable” because they can occur at any time during the contraction cycle and can vary in depth and duration.
D. Early decelerations: These are usually benign and are often associated with fetal head compression during contractions, not a problem with the umbilical cord.
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