A woman's birth plan specifies the Odent method of childbirth. ...

[javeds]

A woman's birth plan specifies the Odent method of childbirth. Early in her admission, the woman asks about having an epidural for pain control. Which action by the nurse is best?
 
  A.
  Advise the woman that this will change her birth plan
  B.
  Ask why she wants pain control with natural childbirth
  C.
  Facilitate having the epidural catheter placed
  D.
  Review the breathing techniques for managing pain

Question 2

A woman who is 26 weeks pregnant has a blood pressure of 158/100 mm Hg. Which action by the nurse is most appropriate?
 
  A.
  Assess the woman's risk for other cardiovascular problems.
  B.
  Have her rest for 20 minutes, then reassess her blood pressure.
  C.
  Obtain a urine dipstick for proteinuria and assess for headache.
  D.
  Prepare to teach the woman about anti-hypertensive medication.

[apple]

Answer to Question 1

ANS: A
The Odent method involves the woman's giving birth in a warm water bath. Not every woman is a candidate for this method, including women who have rupture of the membranes or other complications that require continuous fetal monitoring. Epidural anesthesia requires continuous fetal monitoring, so if she chooses an epidural, she will not be able to use the Odent method. The nurse should advise her of this so that the woman is well informed before making a final decision. Asking why she wants pain control sounds judgmental. Breathing techniques are the primary method of coping with pain in the Lamaze method. If the woman decides to go ahead with the epidural, then by all means the nurse should facilitate its placement.

Answer to Question 2

ANS: C
Preeclampsia is defined as a blood pressure greater than 140/90 mm Hg after 20 weeks' gestation accompanied by proteinuria. Other signs and symptoms include headache, visual changes, and edema. The nurse should suspect this condition and confirm it with a urine test for protein and by asking about the other symptoms. Assessing for other cardiovascular risk problems and teaching about anti-hypertensive medications are not warranted in this situation.

[javeds]

TYSM

[rachel]

Gracias!