CNM Certified Nurse Midwife

Category - Intrapartum

An epidural block is ordered for a client in labor. The nurse midwife maintains the client in which of the following positions after the anesthetic is administered?
  1. Dorsal recumbent
  2. Side-lying position
  3. Flat on bed for 12 hours
  4. Supine with a rolled blanket beneath left hip
Explanation
Answer: B - After an epidural block is administered, the client is maintained in side lying position to keep the pressure off the vena cava and improve circulation to the uterus. The client may be positioned in supine position with a rolled blanket beneath the right hip. A client who is administered a subarachnoid or spinal block is maintained flat on bed for 8 to 12 hours.
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