In the recovery room, if a woman is asked either to raise her ...

[fbq8i]

In the recovery room, if a woman is asked either to raise her legs (knees extended) off the bed or to flex her knees, place her feet flat on the bed, and raise her buttocks well off the bed, most likely she is being tested to see whether she:
 
  a. Has recovered from epidural or spinal anesthesia.
  b. Has hidden bleeding underneath her.
  c. Has regained some flexibility.
  d. Is a candidate to go home after 6 hours.

Question 2

What is the nursing action that has the highest priority for a client experiencing hypertonic contractions during oxytocin stimulation of labor?
 
  a. Open up the IV. c. Stop the oxytocin infusion.
  b. Start oxygen per face mask. d. Turn the client on her left side.

[leahm14]

Answer to Question 1

A

Feedback
A If the numb or prickly sensations are gone from her legs after these movements, she likely has recovered from the epidural or spinal anesthesia.
B This would be an assessment for postpartum bleeding.
C Asking the woman to perform this function has nothing to do with determining flexibility.
D It would be very unlikely that a patient who has just delivered a baby with epi-dural or spinal anesthesia would be a candidate for discharge after 6 hours.

Answer to Question 2

C
The highest priority intervention is to stop the oxytocin, which is probably the cause of the hypertonicity.