Author Question: A cesarean section is ordered for the laboring client with whom the nurse has worked all shift. The ... (Read 39 times)

shofmannx20 · **on:** Jun 27, 2018

A cesarean section is ordered for the laboring client with whom the nurse has worked all shift. The client will receive general anesthesia.

The nurse knows that potential complications of general anesthesia include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal depression that is directly proportional to the depth and duration of the anesthesia
2. Poor fetal metabolism of anesthesia, which inhibits use with preterm infants
3. Uterine relaxation
4. Increased gastric motility
5. Itching of the face and neck

Question 2

The nurse is seeing a patient for the first time who says she became pregnant using in vitro fertilization.

The patient explains that she had had previous attempts were not successful, but this time she also used a Chinese therapy along with the in vitro procedure to help with the positive development of a pregnancy. The nurse knows the Chinese therapy used was: 1. Therapeutic touch.
2. Acupressure.
3. Acupuncture.
4. Dietary supplements.

mcni194 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 2, 3
Explanation: 1. A primary danger of general anesthesia is fetal depression, because the medication reaches the fetus in about 2 minutes. The depression is directly proportional to the depth and duration of anesthesia.
2. The poor fetal metabolism of general anesthetic agents is similar to that of analgesic agents administered during labor. General anesthesia is not advocated when the fetus is considered to be at high risk, particularly in preterm birth.
3. Most general anesthetic agents cause some degree of uterine relaxation.

Answer to Question 2

3
Rationale 1: Therapeutic touch is not used in conjunction with in vitro fertilization.
Rationale 2: Acupressure is not used in conjunction with in vitro fertilization.
Rationale 3: Acupuncture is used in conjunction with in vitro fertilization with the hope of improving rates of pregnancy.
Rationale 4: Dietary supplements are not used along with in vitro fertilization to increase the rate of pregnancy.