The perinatal nurse is caring for a woman with a postdural ...

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The perinatal nurse is caring for a woman with a postdural puncture headache. What interventions does the nurse include in this woman's care plan? (Select all that apply.)
 
  A.
  Bedrest
  B.
  Caffeine
  C.
  Decreased fluid intake
  D.
  Light therapy
  E.
  Position sitting upright

Question 2

The OB clinic nurse is giving a pregnant woman information on different types of anesthesia and pain control for use during labor. What information does the nurse provide about spinal anesthesia block? (Select all that apply.)
 
  A.
  Anesthesia occurs after only a 10- to 15-minute delay.
  B.
  It can be used for both vaginal and cesarean births.
  C.
  It causes decreased maternal level of consciousness.
  D.
  It may increase the chance of an operative birth.
  E.
  It provides excellent muscular relaxation.

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Answer to Question 1

ANS: A, B
Typically, the headache is intensified when the patient assumes an upright position and is relieved when she assumes a supine position. Interventions usually center on oral analgesics, bedrest in a darkened room, caffeine, and hydration. If these measures are not effective, an autologous epidural blood patch may be administered.

Answer to Question 2

ANS: B, D, E
Benefits of spinal block anesthesia include: easy to administer, has immediate onset of action, requires a smaller volume of medication, produces excellent muscular relaxation, allows for maintenance of maternal consciousness, and is associated with minimal blood loss. However, because the woman will lose the ability to feel contractions, maternal pushing efforts are compromised, which increases the risk of an operative birth.

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Correct answers!

[yifu223]

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