When general anesthesia is necessary for a cesarean delivery, ...

[ssal]

When general anesthesia is necessary for a cesarean delivery, what should the nurse be prepared to do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Administer an antacid to the client.
  2. Place a wedge under her thigh.
  3. Apply cricoid pressure during anesthesia intubation.
  4. Preoxygenate for 3-5 minutes before anesthesia.
  5. Place a Foley catheter in the client's bladder.

Question 2

The nurse is analyzing several fetal heart rate patterns. The pattern that would be of most concern to the nurse would be:
 
  1. Moderate long-term variability.
  2. Early decelerations.
  3. Late decelerations.
  4. Accelerations.

[Ksh22]

Answer to Question 1

1, 3, 4, 5
Explanation: 1. Prophylactic antacid therapy is given to reduce the acidic content of the stomach before general anesthesia.
3. During the process of rapid induction of anesthesia, the nurse applies cricoid pressure.
4. The woman should be preoxygenated with 3 to 5 minutes of 100 oxygen.
5. Urinary retention can be treated with the placement of an indwelling Foley catheter.

Answer to Question 2

3
Rationale 1: Moderate long-term variability is a reassuring sign that the fetus is not suffering from cerebral asphyxia.
Rationale 2: Early decelerations occur before the onset of the uterine contraction. Early deceleration is usually considered benign.
Rationale 3: Late decelerations are caused by uteroplacental insufficiency. The late deceleration pattern is considered a nonreassuring sign.
Rationale 4: Accelerations are thought to be a sign of fetal well-being.

[ssal]

Excellent

[milbourne11]

Gracias!