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. Monitor blood pressure, pulse, and respirations every 4 hours: Monitoring vital signs is important, especially in a client with eclampsia. However, the frequency of monitoring may need to be increased, particularly if the client's condition is unstable.
B. Keep an airway at the bedside: This is a crucial intervention. Eclampsia can lead to seizures, and having airway management equipment readily available is essential to ensure the client's safety during and after a seizure.
C. Allow liberal family visitation: While family support is important, the priority in eclampsia management is the safety and well-being of the client. Family visitation should be allowed, but it may need to be balanced with the need for a controlled and safe environment.
D. Assess temperature every hour: While monitoring temperature is a part of routine care, it may not be the highest priority in the context of eclampsia. Monitoring for signs of imminent seizure activity and maintaining a safe environment take precedence.
Correct Answer is C
Explanation
A. Estimated amount of fluid:
Knowing the estimated amount of amniotic fluid can provide some information, but it may not be as crucial as other factors in this situation. The primary concern is often related to the color and odor of the amniotic fluid to assess for potential issues.
B. Color and consistency of fluid:
This is a crucial piece of information. The color and consistency of amniotic fluid can provide important clues about fetal well-being and the presence of meconium, which may indicate fetal distress.
C. Time the membranes ruptured:
Knowing the time when the membranes ruptured is essential for assessing the duration of time since the rupture. This information helps in determining the risk of infection, which is a concern after prolonged rupture of membranes.
D. Any odor noted when membranes ruptured:
This is also a critical piece of information. An unpleasant odor, especially if it is foul-smelling, could be indicative of infection. Infection risk increases with prolonged rupture of membranes.
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