Exam 1: Chapter 14

Question 1

How do we provide family centered care with labor

Answer 1

Identify, respect, andcareabout client’s differences, values, preferences, and expressed needs. For example “Asking her plans for labor and birth”

Question 2

What are the immediate cares needed for a newborn

Answer 2

Drying
Apgar score
Identification

Question 3

Epidural block

Answer 3

Epidural block: continuous infusion or intermittent injection; usually started when dilation >5 cm.

Question 4

When do we give a local infiltration

Answer 4

episiotomy or laceration repair

Question 5

Intrathecal (spinal) is given during

Answer 5

labor and C section

Question 6

What must we do as nurses before an epidural

Answer 6

Before the epidural:

Notify the anesthesia care provider when the woman requests the anesthesia

Assessment:
- Level of pain
- Vital signs: BP, pulse, RR, temperature
- Assess FHR

Administer IV bolus (hypotension)

Encourage the patient to void before the procedure

Question 7

During the epidural how does nursing staff assist

Answer 7

Assist the anesthesia care provider with placement of epidural, including placement of the patient in lateral position or sitting position

Question 8

After epidural how does nursing staff assist

Answer 8

After the epidural:

• Monitor BP
• Lateral position
• Assess pain levels
• Assessment of side effects: pruritis (itching, 90%), nausea and vomiting (50%), post-procedural headache (3%), uterine retention
• Monitor uterine contractions
• FHR