After receiving a pudendal block, which reaction is the patient likely to experience?
a. Complete relief from the pain of uterine contractions during labor
b. Numbness of her legs after delivery
c. Delayed voiding after delivery because the nerves supplying the bladder are numb
d. Numbness of the birth canal and perineum to allow pushing during delivery
ANS: D
A pudendal block is performed during the second stage of labor to block the pudendal nerve, numbing the birth canal and perineum to allow pushing during delivery, and to facilitate episiotomy repair. Although this type of anesthesia relieves discomfort from perineal distention, it does not affect pain from uterine contractions. The pudendal block does not affect the uterus, bladder, or legs.
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