Author Question: The obstetrician opts to use a vacuum extraction device for a delivery. The nurse understands that: ... (Read 64 times)

BrownTown3 · **on:** Jun 27, 2018

The obstetrician opts to use a vacuum extraction device for a delivery. The nurse understands that:

1. There is little risk with vacuum devices.
2. There should be further fetal descent with the first two pulls.
3. Traction is applied between contractions.
4. The woman often feels increased discomfort during the procedure.

Question 2

The laboring patient who is at 3 cm dilation and 25 effaced is asking for analgesia. The nurse explains the analgesia usually is not administered prior to the establishment of the active phase. Identify the appropriate rationale for this practice.

A) This would cause fetal depression in utero.
B) This may prolong labor and increase complications.
C) The effects would wear off before delivery.
D) This can lead to maternal hypertension.

emily12345 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale:
1. There is increased risk of complications with the use of a vacuum device.
2. There should be further descent with the first two pulls on the vacuum device, which will indi-cate there is nothing holding the fetus back.
3. Traction should be applied with contractions to maximize the effort.
4. The woman often feels only slight pressure during a vacuum extraction if she has adequate re-gional anesthesia.

Answer to Question 2

B