A laboring patient has received an order for epidural anesthesia. ...

[Medesa]

A laboring patient has received an order for epidural anesthesia. In order to prevent the most common complication associated with this procedure, what would the nurse expect to do?
 
  1. Observe fetal heart rate variability.
  2. Rapidly infuse 5001000 ml of intravenous fluids.
  3. Place the patient in the semi-Fowler's position.
  4. Teach the patient appropriate breathing techniques.

Question 2

A child with human immunodeficiency virus (HIV) also has oral candidiasis.Mouth care for a child should be with
 
  1. normal saline.
  2. listerine.
  3. scope.
  4. viscous lidocaine.

[kthug]

Answer to Question 1

2
Rationale 1: Fetal heart rate variability has nothing to do with starting an epidural.
Rationale 2: Administering a fluid bolus prior to an epidural generally prevents maternal hypotension, which is the most common disadvantage to the procedure.
Rationale 3: The patient is not placed in semi-Fowlers position.
Rationale 4: Breathing techniques have nothing to do with administration of an epidural.

Answer to Question 2

Answer:1
Rationale: The mouth care should be with a nonalcohol base.Normal saline can keep the child's lips and mouth moist.Listerine and Scope are commercial mouth rinses that can have an alcohol base and cause drying of the membranes. Viscous lidocaine causes numbing and could depress the gag reflex in a younger child.