A client in labor is concerned about needing a cesarean section ...

[mrsjacobs44]

A client in labor is concerned about needing a cesarean section and being asleep during the birth of her baby. Which nursing response is most appropriate?
 
  1. Your anesthesia provider will require that you go to sleep for surgery.
  2. If a cesarean section is needed, that does not necessarily mean you will need to go to sleep for surgery.
  3. We will do our best to make sure you deliver vaginally, so you do not need to have a cesarean section.
  4. If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly.

Question 2

The blood pressure of a client receiving continuous epidural anesthesia for labor has changed from 132/78 mmHg to 78/42 mmHg. What action should the nurse perform first?
 
  1. Administer oxygen.
  2. Administer ephedrine 5 to 10 mg intravenously.
  3. Verify the client is positioned to promote left uterine displacement.
  4. Increase the flow rate of infusion of intravenous crystalloid solution.

[Eazy416]

Answer to Question 1

2
Explanation:
1. General anesthesia may be needed for cesarean birth and for surgical intervention with some complications. In modern obstetrics, spinal anesthesia is often administered for delivery via cesarean section.
2. While general anesthesia may be needed for cesarean birth and for surgical intervention with some complications, in modern obstetrics, general anesthesia is not used for all obstetric births.
3. Reassuring the client in this manner does not address the erroneous belief that general anesthesia is mandatory for women undergoing cesarean section.
4. Reassuring the client in this manner does not address the erroneous belief that general anesthesia is mandatory for women undergoing cesarean section.

Answer to Question 2

1
Explanation:
1. If hypotension occurs secondary to epidural anesthesia, the nurse should apply oxygen via face mask first.
2. The nurse should notify the anesthesiologist for treatment orders before administering ephedrine.
3. Verification of body position is not identified as a step in the treatment of acute hypotension with an epidural infusion.
4. Administering a bolus of crystalloid fluid occurs after oxygen is applied to the client.