Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?
a. Narcotics
b. Spinal block
c. Epidural anesthesia
d. Breathing and relaxation techniques
ANS: D
Nonpharmacologic methods of pain management may be the best option for a woman in advanced labor. At 8 cm cervical dilation there probably not enough time remaining to administer spinal anesthesia or epidural anesthesia. A narcotic given at this time may reach its peak at about the time of birth and result in respiratory depression in the newborn.
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Which of the following statements about the nursing practice of being with are accurate?
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A 30-year-old female patient diagnosed with early onset of osteoporosis asks the nurse how she could be at risk for this disease, since she is so active. Which response by the nurse is most correct?
1. "You might have placed underlying stress on your skeleton from your frequent exercise." 2. "You are at an age when your estrogen levels have begun to decline drastically, thus increasing your risk for the development of osteoporosis." 3. "Do your bones feel weak or painful?" 4. "Your dietary practices might be partially responsible."
UVB (ultraviolet B) and UVA (ultraviolet A) phototherapy are techniques used in cases of severe psoriasis. The nurse correctly instructs the client that which type is less hazardous?
1. Neither is hazardous. 2. UVB (ultraviolet B) 3. UVA (ultraviolet A) 4. Both are the same.