The nurse is inducing the labor of a patient with severe preeclampsia. As labor progresses, fetal intolerance of labor develops. The induction medication is turned off, and the patient is prepared for cesarean birth
Which statement should the nurse include in her preoperative teaching? "Because of your preeclampsia: 1. "You are at higher risk for hypotension after an epidural anesthesia."
2. "You might develop hypertension after a spinal anesthesia."
3. "Your baby might have decreased blood pressure after birth."
4. "Your husband will not be allowed into the operating room."
1
Rationale 1: The vasoconstriction of severe preeclampsia results in a lowered blood volume; the vasodilation of regional anesthesia then is more likely to result in hypotension.
Rationale 2: Hypertension is not associated with spinal anesthesia.
Rationale 3: Preeclampsia does not affect the baby's blood pressure.
Rationale 4: The presence of preeclampsia does not mean the husband cannot be present at the birth.
You might also like to view...
A nurse is aware that the human genome project has numerous ethical implications. This project examined
A) the relationship between nursing and genetics. B) the arrangement of all the human genes. C) the future of disease treatment. D) the effects of drugs on human DNA.
Excessive anxiety during labor heightens the woman's sensitivity to pain by increasing:
a. muscle tension. b. blood flow to the uterus. c. the pain threshold. d. rest time between contractions.
The degree to which health services for individuals and populations increases the likelihood of desired health outcomes that are consistent with current professional knowledge is known as the:
a. care delivery quotient. b. excellence index. c. quality of health care. d. standard of care.
What statement is true concerning adolescent suicide?
a. A sense of hopelessness and despair is a normal part of adolescence. b. Gay and lesbian adolescents are at a particularly high risk for suicide. c. Problem-solving skills are of limited value to the suicidal adolescent. d. Previous suicide attempts are not an indication for completed suicides.