Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A G2P1 client at 39 weeks’ gestation is admitted to the labor and delivery unit. A pudendal block is ordered. Which of the following statements about pudendal block is the most accurate?
  1. It is administered after labor is established.
  2. It blocks uterine and perineal pain and numbs the lower extremities, vagina and perineum.
  3. It has no effects on contractions or the fetus.
  4. It may cause postpartum headache.
Explanation
Answer: C - A pudendal block does not have an effect on the contractions or the fetus. It is usually administered before the birth of the baby and is used to block the perineal area for episiotomy. The effect may lasts for up to 30 minutes. Option A refers to lumbar epidural block. Options B and D refer to spinal block.
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