A plan to achieve adequate pain relief without maternal or fetal ...

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A plan to achieve adequate pain relief without maternal or fetal risk is most effective if:
 
  a. The mother has the baby without any analgesic or anesthetic.
  b. The primary health care provider decides the best pain relief for the mother and baby.
  c. Mother and family priorities and preferences are incorporated into the plan.
  d. The nurse informs the family of all alternative methods of pain relief available.

Question 2

After administration of epidural anesthesia, the nurse should immediately:
 
  a. Assess pulse and respiration.
  b. Assess blood pressure and fetal heart tones.
  c. Administer oxygen via nasal cannula.
  d. Place patient in semi-Fowler's position.

[kthug]

Answer to Question 1

ANS: C
By working with the woman and her family, taking into account pain characteristics in labor, interventions for pain relief, comfort methods, and cultural responses to pain, the nurse is able to design a care plan to safely meet the specific needs of the woman in labor.

Answer to Question 2

ANS: B
Epidural anesthesia commonly causes maternal hypotension, which can cause decreased placental circulation and inadequate fetal oxygenation. Therefore, it is important to check blood pressure and fetal heart tones immediately after administration of the anesthetic. Oxygen would not be necessary unless signs of hypotension and fetal distress are present. Placing the patient in a lateral position would ensure placental circulation and fetal oxygenation and would be the preferred position.

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TYSM

[zacnyjessica]

Thanks for the timely response, appreciate it