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NUR 148 ( LATEST 2024 / 2025 ) TEST 2 | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 148 ( LATEST 2024 / 2025 ) TEST 2 | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 148 Test 21. What is a blood patch?
Answer
20 cc of patient's blood infused in epidural space, creating a clot and sealing the leak in the dura
that caused the postdural puncture headache
2. S/S of maternal hypotension after epidural?
Answer
-lightheadedness
-low BP
-syncope
-low oxygen saturation
3. What is the RN role r/t maternal hypotension after epidural?
Answer
-Turn woman to lateral position
-If supine wedge pillow under hips and elevate legs
-Administer IVF bolus
-Administer oxygen via NRB at 10 L/min
-Notify CRNA/MD
-Anticipate administration of vasopressor drug
-Remain with patient (monitor until resolved)
-Remember the BABY! (may see fetal bradycardia)
4. Examples of nonpharmacological methods of pain relief in labor?
Answer
-Focusing and relaxation
-Imagery
-Breathing
, -Effleurage
-Counterpressure to lower back
-Music
-Hydrotherapy
-Intradermal water block
-TENS unit
-acupressure/acupuncture
-freedom of movement
-heat/cold
Gate theory of pain!
5. What are the S/E of epidural?
Answer
-Maternal hypotension
-Urinary retention
-May delay 2nd phase of labor 30 mins
-Postdural puncture headache
-May experience "hot spots"
-Permanent nerve damage
6. What should the nurse educate about with epidurals?
Answer
-urinate before epidural
-walking or getting up won't be possible
-Risk for postdural headache
-takes about 15 mins to work
-S/E of hypotension and urinary retention
-can't get epidural after 8-9cm dilation
-cant't get epidural if platelets aren't 80,000
7. What should the nurse educate about with spinals?
Answer
-effects last long time
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