The Nurse Educator Is Teaching the Nursing Student the Basic

question 18

Multiple Choice

The nurse educator is teaching the nursing student the basic principles of using analgesia by using a patient, Christa, as an example. Which of the following demonstrates the basic principles of analgesia during Christa's labor and delivery? Select all that apply.

• A)Christa has been in labor for 4 hours. She has been having contractions every 3 minutes. Contractions last a minute and are intense. She has had cervical change from 3 to 5 cm over the past 4 hours.
• B)The medication Christa wants is an epidural. After she receives the epidural, the FHR tracing is within normal limits.
• C)Christa received butorphanol (Stadol) within 3 hours of delivery and the infant experienced neonatal depression.
• D)Local anesthesia in the perineal area was used in conjunction with the epidural throughout labor and delivery.
• E)Christa has a history of opiate abuse and therefore it was understood that she might require higher doses of medications to experience relief.

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Definitions:

Hypoglossal Nerve

The twelfth cranial nerve, responsible for motor control of the tongue.

Olfactory Nerve

The first cranial nerve responsible for the sense of smell, transmitting sensory information from the nose to the brain.

Sacral Plexus

A network of nerves originating from the lower spine, providing motor and sensory nerves for the pelvis, buttocks, genitals, thighs, calves, and feet.

Sciatic Nerve

The largest nerve in the body, running from the lower back through the buttocks and down the legs, providing sensory and motor function.