The nurse is caring for a multipara woman during labor who has ...

[DyllonKazuo]

The nurse is caring for a multipara woman during labor who has requested an epidural block. The nurse will tell the patient that the epidural block will be given when her cervix is dilated
 
  a. 1 to 2 cm.
  b. 3 to 4 cm.
  c. 5 to 6 cm.
  d. 7 to 8 cm.

Question 2

The nurse is assisting with placement of epidural anesthesia for a woman who is in labor. To help prevent maternal hypotension, which is the nurse's initial action?
 
  a. Administer 40 to 80 mcg of intravenous phenylephrine.
  b. Infuse a bolus of 500 to 1000 mL of IV crystalloid solution.
  c. Monitor the patient's blood pressure closely during epidural placement.
  d. Turn the patient onto her left side and give a rapid bolus of crystalloid solution.

[ricroger]

Answer to Question 1

ANS: B
In a multipara woman, an epidural block is given when the cervix is dilated 3 to 4 cm. In a primipara woman, the block is given at 5 to 6 cm.

Answer to Question 2

ANS: B
To decrease maternal hypotension before epidural placement, an IV bolus of 500 to 1000 mL of crystalloid solution is given. When hypotension develops, the woman should be turned to her left side and administered a rapid bolus of crystalloid solution. Phenylephrine is given if hypotension does not improve. Blood pressure should be monitored throughout the procedure.