During the active phase of labor, a patient reports severe back ...

[CORALGRILL2014]

During the active phase of labor, a patient reports severe back pain that becomes increasingly intense during contractions. The nurse should place the woman in which position?
 
  a. Semi-Fowler's
  b. Supine
  c. Knee-chest
  d. Side-lying on the side of the fetus's back

Question 2

A complication of epidural block is:
 
  a. Hyperglycemia in the newborn
  b. Maternal hypotension
  c. Fetal tachycardia
  d. Maternal and fetal respiratory distress

[ciecieme]

Answer to Question 1

ANS: C
Severe back pain during the active phase of labor commonly is caused by posterior fetal positioning, in which the fetal back and head press against the maternal spine. The knee-chest position facilitates rotation and descent of the fetus and lessens the degree of back pain during contractions. The supine and semi-Fowler's positions would be inappropriate because they slow fetal rotation. The side-lying position uses gravity to facilitate fetal rotation when the mother is lying on the side opposite the fetus's back.

Answer to Question 2

ANS: B
Complications of epidural anesthesia include maternal hypotension, fetal bradycardia, and movement of the catheter into the spinal column.

[CORALGRILL2014]

Gracias!

[ttt030911]

TYSM