The method of anesthesia in labor that is considered the safest ...

[sabina]

The method of anesthesia in labor that is considered the safest for the fetus is:
 
  a. epidural block.
  b. pudendal block.
  c. local infiltration.
  d. spinal (subarachnoid) block.

Question 2

Which client will most likely have increased anxiety and tension during labor?
 
  a. Gravida 2 who refused any medication
  b. Gravida 2 who delivered a stillborn baby last year
  c. Gravida 1 who did not attend prepared childbirth classes
  d. Gravida 3 who has two children younger than 3 years

[durant1234]

Answer to Question 1

ANS: C
Local infiltration of the perineum rarely has any adverse effects on the mother or the fetus. With an epidural, pudendal, or spinal block the fetus can be affected by maternal side effects and maternal hypotension.

Answer to Question 2

ANS: B
If a previous pregnancy had a poor outcome, the client will probably be more anxious during labor and birth. The client without childbirth education classes is not prepared for labor and will have increased anxiety during labor. However, the client with a poor previous outcome is more likely to experience more anxiety. A gravida 2 has previous experience and can anticipate what to expect. By refusing any medication, she is taking control over her situation and will have less anxiety. This gravida 3 has previous experience and is aware of what to expect.

[sabina]

Thanks for the timely response, appreciate it

[mjenn52]

TYSM