Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum?
Epidural block
Saddle block
Paracervical block.
Pudendal block
The Correct Answer is D
A. Epidural block: Epidural anesthesia is a regional anesthesia that blocks sensations in a specific region of the body. It is commonly used in labor and delivery to provide pain relief by injecting anesthetic medication into the epidural space, numbing the lower half of the body.
B. Saddle block: A saddle block, also known as a subarachnoid block, is a type of spinal anesthesia. It involves injecting anesthetic medication into the subarachnoid space, providing numbness to the lower half of the body, including the perineum.
C. Paracervical block: A paracervical block involves injecting a local anesthetic around the cervix. It is used to provide pain relief during certain medical procedures, such as cervical dilation or biopsy. It does not provide anesthesia to the entire perineum.
D. Pudendal block: A pudendal block involves injecting a local anesthetic into the pudendal nerve, which supplies sensation to the perineum. It is often used during the second stage of labor to provide localized pain relief during the delivery of the baby's head.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine fetal position by performing Leopold maneuvers:
Leopold maneuvers are used to determine the fetal position and presentation by palpating the mother's abdomen. While this information can be valuable, it's not the highest priority in a situation where there is significant vaginal bleeding.
B. Assess the fetal heart rate and client's contraction pattern:
This is the highest priority because it directly addresses the immediate concern. Monitoring the fetal heart rate and contraction pattern helps to assess the well-being of both the mother and the baby.
C. Confirm Rh and Coombs status for Rho(D) immunoglobulin administration:
While determining Rh status is important, it may not be the immediate priority in this situation. However, if there is a need for Rho(D) immunoglobulin administration, it should be addressed in a timely manner.
D. Perform sterile vaginal examination to determine dilatation:
Performing a sterile vaginal examination is an important aspect of assessing the progress of labor, but it may not be the highest priority when there is significant vaginal bleeding. The focus initially should be on assessing the fetal heart rate and contraction pattern.
Correct Answer is ["E"]
Explanation
A. Place client in a negative pressure room: Negative pressure rooms are typically used for airborne precautions, not for preventing the transmission of HIV, which primarily requires standard precautions.
B. Implement droplet precautions: HIV does not spread through respiratory droplets. Droplet precautions are for diseases like influenza or meningitis that spread through respiratory droplets, not for HIV.
C. Encourage the mother to bottle-feed: This recommendation can vary based on specific circumstances. In many developed countries, the recommendation is for HIV-positive mothers to avoid breastfeeding to reduce the risk of transmitting HIV to the infant. However, this decision should be discussed with healthcare providers and based on individual circumstances.
D. Give antiviral medication intravenously: Antiretroviral medications are used to manage HIV. However, the method of administration and specific medications depend on the client's condition and the stage of pregnancy. Intravenous administration might not be the standard for HIV management during labor.
E. Use standard precautions: Standard precautions are the most appropriate approach. These include wearing gloves, practicing good hand hygiene, and using protective barriers as needed to prevent contact with blood and body fluids, which is the primary mode of HIV transmission.
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