MATERNAL CHILD EAQ #3 2019

MATERNAL CHILD EAQ #3 2019 The nurse is caring for a patient who will have a cesarean birth. An anesthesiologist has been called to inject the epidural anesthesia (block). Where does the nurse expect the anesthesiologist to inject the anesthesia? Rationale If a cesarean birth is to be conducted an epidural anesthesia (block) is administered from at least T8 to S1. A block from T10 to S5 is required for relieving the discomfort of labor and vaginal birth. In spinal anesthesia (block), an anesthetic solution containing a local anesthetic alone or in combination with an opioid agonist analgesic is injected between L3 to L5. L1 to L3 is not blocked for anesthesia. p. 351 L1 to L3 T8 to S1 L3 to L5 T10 to S5 Correct (99) The charge nurse on the maternity unit is orienting a new nurse to the unit and explains that the 5 Ps of labor and birth are what? Select all that apply. 4/24/2019 Elsevier Adaptive Quizzing - Quiz performance Rationale At least five factors affect the process of labor and birth. These are easily remembered as the five Ps: passenger (fetus and placenta), passageway (birth canal), powers (contractions), position of the mother, and psychological response. Test-Taking Tip: If you are unable to answer a multiple-choice question immediately, eliminate the alternatives that you know are incorrect and proceed from that point. The same goes for a multiple-response question that requires you to choose two or more of the given alternatives. If a fill-in-the-blank question poses a problem, read the situation and essential information carefully and then formulate your response. p. 321 What are the factors that enable the baby to initiate respiration immediately postpartum? Rationale Fetal lung fluid is cleared from the air passage as the infant passes through the birth canal during labor and vaginal birth. There is a decrease in fetal respiratory movements during labor. Arterial carbon dioxide pressure (Pco ) increases. There is a decrease in arterial pH and bicarbonate levels. Test-Taking Tip: If the question asks for an immediate action or response, all of the answers may be correct, so base your selection on identified priorities for action. p. 332 How does a cesarean delivery affect the transition of fetal respiration? Passenger Placenta Passageway Psychological response Powers Position Fetal respiratory movements increase during labor. Fetal lung fluid is cleared from the air passage. Arterial carbon dioxide pressure is decreased. Arterial pH and bicarbonate levels are increased. 2 There is an increase in the bicarbonate level. Fetal respiratory movements increase during birth. The cesarean delivery increases the fetal oxygen (po ) pressure. 2 Fetal lung fluid may not be effectively cleared from the lung passages