QUESTION: "A primigravida in active labor is about 10 days post-term. The client desires a bilateral pudendal block anesthetic before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?"
CHOICES
( X ) a.) Back.
( X ) b.) Abdomen.
( X ) c.) Fundus.
( O ) d.) Perineum.
RATIONALE: A bilateral pudendal block is used for vaginal deliveries to relieve pain primarily in the perineum and vagina. Pudendal block anesthesia is adequate for episiotomy and its repair. A pudendal block relieves pain in the perineum and vagina. It does not relieve discomfort in the back. A pudendal block relieves pain in the perineum and vagina. It does not relieve discomfort in the abdomen. A pudendal block relieves pain in the perineum and vagina. It does not relieve discomfort in the fundus. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
