The nurse is caring for a client that is Gravida 2 Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication.
Which of the following is the most appropriate method of pain management at this time:
Ibuprofen IM injection.
Pudendal block.
Spinal block.
Epidural analgesia.
The Correct Answer is D
Choice A rationale
Ibuprofen IM injection is not typically used for labor pain due to its limited effectiveness for severe pain and potential side effects on the mother and fetus.
Choice B rationale
Pudendal block provides pain relief during the second stage of labor, particularly for episiotomy or forceps delivery. It is not typically used during the active phase of labor dilation.
Choice C rationale
Spinal block is often used for cesarean sections or late-stage labor but is not commonly used for pain management during early or active labor due to its short duration of action.
Choice D rationale
Epidural analgesia is the most effective and widely used method for pain management during active labor. It provides continuous pain relief by administering medication through a catheter placed in the epidural space.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The nurse should prioritize administering magnesium sulfate and monitoring for signs of magnesium toxicity.
- Administering magnesium sulfate: This is crucial for preventing seizures in patients with preeclampsia, given her symptoms and elevated blood pressure.
- Monitoring for signs of magnesium toxicity: Essential when administering magnesium sulfate, as it can have serious side effects.
Correct Answer is D
Explanation
Choice A rationale
Administering oxytocin is not appropriate at this stage since the fetal head at a +5 station indicates imminent delivery.
Choice B rationale
Applying fundal pressure is not recommended and can cause complications such as uterine rupture or maternal injury.
Choice C rationale
Suctioning the mouth of the infant at the perineum should be done only after the head is delivered to clear airway obstructions.
Choice D rationale
Observing for the presence of a nuchal cord is crucial as it can cause complications during delivery, requiring immediate attention.
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