A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor which of the following findings has an adverse effect.
Fetal bradycardia.
Decreased ability to bear down.
Maternal hypertension.
Uterine hyperstimulation.
The Correct Answer is B
The correct answer is choice B. Decreased ability to bear down.
Choice A rationale:
Fetal bradycardia is not a common adverse effect of a pudendal nerve block. This block primarily affects the mother’s pelvic region and does not typically impact fetal heart rate.
Choice B rationale:
Decreased ability to bear down is correct because the pudendal nerve block can numb the perineal area, reducing the mother’s ability to feel contractions and effectively bear down during labor.
Choice C rationale:
Maternal hypertension is not associated with pudendal nerve blocks. This block is localized and does not generally affect systemic blood pressure.
Choice D rationale:
Uterine hyperstimulation is not a known adverse effect of pudendal nerve blocks. This condition is more commonly associated with the use of labor-inducing drugs like oxytocin.
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Related Questions
Correct Answer is B
Explanation
The correct answer is choiceB. Decreased ability to bear down.
Choice A rationale:
Fetal bradycardia is not a common adverse effect of a pudendal nerve block.This block primarily affects the mother’s pelvic region and does not typically impact fetal heart rate.
Choice B rationale:
Decreased ability to bear down is correct because the pudendal nerve block can numb the perineal area, reducing the mother’s ability to feel contractions and effectively bear down during labor.
Choice C rationale:
Maternal hypertension is not associated with pudendal nerve blocks.This block is localized and does not generally affect systemic blood pressure.
Choice D rationale:
Uterine hyperstimulation is not a known adverse effect of pudendal nerve blocks.This condition is more commonly associated with the use of labor-inducing drugs like oxytocin.
Correct Answer is D
Explanation
The correct answer is choice d. “The nurse should measure the newborn’s muscle tone when assigning an Apgar score.”
Choice A rationale:
The Apgar score is determined at 1 and 5 minutes after birth, not at 2 and 7 minutes.
Choice B rationale:
An Apgar score of 8 indicates that the newborn is in good health, not severe distress. Scores of 7-10 are considered normal.
Choice C rationale:
Resuscitation efforts should not be delayed until the first Apgar score is obtained. Immediate resuscitation is initiated if needed, regardless of the Apgar score.
Choice D rationale:
Muscle tone is one of the five criteria assessed in the Apgar score, along with appearance, pulse, grimace, and respiration.
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