A nurse is assessing a client who is in labor and has received epidural analgesia. Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Hypotension.
Polyuria.
Fetal heart rate 152/min.
Maternal temperature of 37.4° C (99.4° F).
The Correct Answer is A
Choice A rationale:
Hypotension is a common adverse effect of epidural analgesia due to the blockage of sympathetic nerve fibers, which can lead to vasodilation and decreased cardiac output.
Choice B rationale:
Polyuria is not typically associated with epidural analgesia. It could be related to other factors such as fluid administration or underlying medical conditions.
Choice C rationale:
A fetal heart rate of 152/min is within the normal range (110-160 beats/min) and is not an adverse effect of epidural analgesia.
Choice D rationale:
A maternal temperature of 37.4° C (99.4° F) is within the normal range (36.1° C to 37.2° C or 97° F to 99° F) and is not an adverse effect of epidural analgesia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Hypnosis can be beneficial if practiced during the prenatal period. It helps the woman to enter labor with a positive mindset and better control over pain.
Choice B rationale:
Hypnosis can indeed work for controlling pain associated with labor when practiced correctly.
Choice C rationale:
Synchronized breathing is not necessarily required during hypnosis. It’s more about focus and relaxation.
Choice D rationale:
Focusing on controlling body functions can be helpful during hypnosis, but it’s not the primary goal of hypnosis.
Correct Answer is B
Explanation
Choice A rationale:
Magnesium sulfate does not increase cardiac output. It is a central nervous system depressant and muscle relaxant.
Choice B rationale:
Magnesium sulfate is given to clients with preeclampsia to prevent seizures, which can be a complication of this condition.
Choice C rationale:
Magnesium sulfate does not directly stabilize the fetal heart rate. Its primary use in preeclampsia is seizure prevention.
Choice D rationale:
While magnesium sulfate can cause vasodilation, which could improve tissue perfusion, its primary use in preeclampsia is to prevent seizures.
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