Concerning nerve block analgesia and anesthesia, nurses should be ...

[meagbuch]

Concerning nerve block analgesia and anesthesia, nurses should be aware that:
 
  1. most local agents are related chemically to cocaine and end with the suffix -caine..
  2. local perineal infiltration anesthesia is effective when epinephrine is added but can be injected only once.
  3. pudendal nerve block is designed to relieve the pain from uterine contractions.
  4. pudendal nerve block, if done correctly, does not lessen significantly the bear-ing-down reflex.

Question 2

Concerning the understanding and treatment of infants born to mothers who are substance abusers, nurses should be aware that:
 
  1. infants born to addicted mothers are also addicted.
  2. mothers who abuse one substance likely will use or abuse another, compounding infant difficulties.
  3. the NICU Network Neurobehavioral Scale (NNNS) is designed to assess the damage the mother has done to herself.
  4. there are no laboratory procedures to identify the intrauterine drug exposure of the infant.

[Dnite]

Answer to Question 1

1
1. Correct. Common agents include lidocaine and chloroprocaine.
2. Incorrect. Injections can be repeated to prolong the anesthesia.
3. Incorrect. Pudendal nerve block relieves pain in the vagina, vulva, and perineum, but not the pain from uterine contractions.
4. Incorrect. Pudendal nerve block, unfortunately, lessens or shuts down the bearing-down reflex.

Answer to Question 2

2
1. Incorrect. Infants of substance-abusing mothers may have some of the physiologic signs but are not addicted in the behavioral sense. Drug-exposed newborn is a more accurate de-scription than addict..
2. Correct. Multiple substance use (even just alcohol and tobacco) makes it difficult to as-sess the problems of the exposed infants, particularly concerning withdrawal manifestations.
3. Incorrect. The NNNS is designed to assess the neurologic, behavioral, and stress/abstinence function of the neonate.
4. Incorrect. Newborn urine, hair, or meconium sampling may be used to identify an infant's intrauterine drug exposure.

[meagbuch]

Gracias!

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TYSM