The nurse has presented a session on pain relief options to a ...

[ETearle]

The nurse has presented a session on pain relief options to a prenatal class. Which statement indicates that additional teaching is needed?
 
  1. An epidural can be continuous or can be given in one dose.
  2. A spinal is usually used for a cesarean birth.
  3. Pudendal blocks are effective when a vacuum is needed.
  4. Local anesthetics provide good labor pain relief.

Question 2

Upon assessing the FHR tracing, the nurse determines that there is increased variability. The increased variability would be caused by: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Early mild hypoxia.
  2. Fetal stimulation.
  3. Alterations in placental blood flow.
  4. Fetal sleep cycle.
  5. Increased uterine contractions.

[essyface1]

Answer to Question 1

4
Explanation: 4. Local anesthetics are not used for labor pain relief. They are used prior to episiotomy and for laceration repair.

Answer to Question 2

1,2,3,5
Rationale 1: Early mild hypoxia can cause increased variability.
Rationale 2: Fetal stimulation can cause increased variability.
Rationale 3: Alterations in placental blood flow can cause increased variability.
Rationale 4: The fetal sleep cycle does not cause increased variability.
Rationale 5: Variability usually correlates with the contractions.