Author Question: During the active phase of labor, a patient reports severe back pain that becomes increasingly ... (Read 111 times)

CORALGRILL2014 · **on:** Jun 28, 2018

During the active phase of labor, a patient reports severe back pain that becomes increasingly intense during contractions. The nurse should place the woman in which position?

a. Semi-Fowler's
b. Supine
c. Knee-chest
d. Side-lying on the side of the fetus's back

Question 2

A complication of epidural block is:

a. Hyperglycemia in the newborn
b. Maternal hypotension
c. Fetal tachycardia
d. Maternal and fetal respiratory distress

ciecieme · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Severe back pain during the active phase of labor commonly is caused by posterior fetal positioning, in which the fetal back and head press against the maternal spine. The knee-chest position facilitates rotation and descent of the fetus and lessens the degree of back pain during contractions. The supine and semi-Fowler's positions would be inappropriate because they slow fetal rotation. The side-lying position uses gravity to facilitate fetal rotation when the mother is lying on the side opposite the fetus's back.

Answer to Question 2

ANS: B
Complications of epidural anesthesia include maternal hypotension, fetal bradycardia, and movement of the catheter into the spinal column.