Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client in labor is administered with an anesthetic through the spinal subarachnoid space. Which of the following actions by the nurse is the least appropriate when managing the client?
  1. The nurse midwife maintains the client flat on bed for 8 to 12 hours.
  2. Inform the client that headaches may occur.
  3. Monitor the client for hypertension.
  4. Administer IV fluids.
Explanation
Answer: C - The nurse midwife should monitor the client for hypotension, not hypertension Subarachnoid or spinal block relieves uterine and perineal pain and numbs the lower extremities, vagina and perineum. The anesthetic may cause headaches. The client should be flat on the bed for 8 to 12 hours. Administration of IV fluids is also appropriate.
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