An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?

Epidural Anesthesia

Local anesthesia

Pudendal block

General anesthesia

Answer and Explanation

The Correct Answer is A

A. Epidural Anesthesia. Epidural anesthesia involves injecting a local anesthetic into the epidural space, blocking pain signals from the lower body to the brain. It is commonly administered when the cervix is at least 4 cm dilated in active labor.

B. Local anesthesia. Local anesthesia numbs a specific, smaller area of the body and is typically used for procedures such as episiotomies or repairs, not for labor pain relief.

C. Pudendal block. A pudendal block is an injection that numbs the perineal area but does not block pain from contractions. It is used for pain relief during the second stage of labor or for episiotomies.

D. General anesthesia. General anesthesia affects the entire body and is rarely used in labor unless there is an emergency cesarean section when regional anesthesia is not possible.

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Correct Answer is B

Explanation

A. Check the fluid with Nitrazine paper. While this test can confirm if the membranes have ruptured, assessing the fetal heart rate (FHR) is more critical to ensure that there is no fetal distress due to umbilical cord prolapse.

B. Assess the FHR. After suspected rupture of membranes, the priority is to assess the fetal heart rate to check for potential complications like umbilical cord prolapse, which can cause fetal distress.

C. Note the color of the fluid. Assessing the color of the fluid is important, especially if meconium is present, but it is secondary to ensuring fetal well-being by assessing the FHR first.

D. Notify the health care provider. The provider should be notified, but the first action should be to assess the fetal heart rate to check for signs of distress.

A. Contraction lasting 85 seconds B. Fetal heart rate 100/min for a 10-min period C. Contraction resting period 35 seconds D. Four contractions in a 10-min period

Correct Answer is B

Explanation

A. Contraction lasting 85 seconds. While contractions longer than 90 seconds should be reported due to the risk of uterine hyperstimulation, an 85-second contraction is within normal limits.

B. Fetal heart rate 100/min for a 10-min period. A fetal heart rate of 100/min indicates bradycardia, which can signify fetal distress. Fetal bradycardia (below 110 beats per minute) lasting more than 10 minutes is an emergency.

C. Contraction resting period 35 seconds. A 35-second resting period between contractions is short but not abnormal enough to require immediate reporting unless accompanied by signs of fetal distress.

D. Four contractions in a 10-min period. Four contractions in 10 minutes is normal during active labor, where uterine activity is expected to increase.

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An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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