A nurse is planning to administer paracervical block to a client in labor.
Which of the following areas should the nurse inject local anesthetics into?
The paracervical area at 12 o’clock and 6 o’clock positions
The paracervical area at 3 o’clock and 9 o’clock positions
The pudendal nerve near the ischial spine on both sides
The sacral nerve roots at S2-S4 levels on both sides
The Correct Answer is B
The paracervical area at 3 o’clock and 9 o’clock positions. This is because a paracervical block is an anesthetic procedure in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices. The injection sites are usually at 10 o’clock, 8 o’clock, 2 and 4 o’clock positions, but for labor pain relief, the 3 o’clock and 9 o’clock positions are preferred.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The paracervical area at 3 o’clock and 9 o’clock positions.This is because a paracervical block is an anesthetic procedure in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices.The injection sites are usually at 10 o’clock, 8 o’clock, 2 and 4 o’clock positions, but for labor pain relief, the 3 o’clock and 9 o’clock positions are preferred.
Correct Answer is D
Explanation
A potential complication of spinal anesthesia is postdural puncture headache (PDPH), which occurs when cerebrospinal fluid leaks through the puncture site and causes low pressure in the subarachnoid space.
This can result in a severe headache that worsens when sitting or standing and improves when lying down.PDPH usually occurs within 24 to 48 hours after the spinal anesthesia and can last for days or weeks.
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