A woman in labor has just received an epidural block. The most ...

[corkyiscool3328]

A woman in labor has just received an epidural block. The most important nursing inter-vention is to:
 
  a. Limit parenteral fluids.
  b. Monitor the fetus for possible tachycardia.
  c. Monitor the maternal blood pressure for possible hypotension.
  d. Monitor the maternal pulse for possible bradycardia.

Question 2

The postpartum nurse is planning discharge teaching for the new postpartum mother. Which of the following is the best way to teach information to this client?
 
  1. Provide all information while discharging the patient.
  2. Provide written discharge material only.
  3. No teaching is required, as this is not the client's first postpartum experience.
  4. Deliver information a little at a time and repeat it until discharge.

[AngeliqueG]

Answer to Question 1

C

Feedback
A Intravenous fluids are increased for a woman receiving an epidural to prevent hypotension.
B The nurse observes for signs of fetal bradycardia.
C The most important nursing intervention for a woman who has received an epi-dural block is to monitor the maternal blood pressure frequently for signs of hypotension.
D The nurse monitors for signs of maternal tachycardia secondary to hypotension.

Answer to Question 2

4
Rationale:
1. Providing all information at one time is not the best way to teach information.
2. Providing only written instruction is not the best way to teach information.
3. Discharge teaching is always done, regardless of how many children the client has had in the past.
4. Information should be delivered a little at a time and repeated to make sure that the parents understand what the nurse has discussed with them.

[corkyiscool3328]

Thanks for the timely response, appreciate it

[diana chang]

Wow, this really help