Concerning nerve block analgesia and anesthesia, nurses should be aware that:
1. most local agents are related chemically to cocaine and end with the suffix "-caine.".
2. local perineal infiltration anesthesia is effective when epinephrine is added but can be injected only once.
3. pudendal nerve block is designed to relieve the pain from uterine contractions.
4. pudendal nerve block, if done correctly, does not lessen significantly the bear-ing-down reflex.
1
1. Correct. Common agents include lidocaine and chloroprocaine.
2. Incorrect. Injections can be repeated to prolong the anesthesia.
3. Incorrect. Pudendal nerve block relieves pain in the vagina, vulva, and perineum, but not the pain from uterine contractions.
4. Incorrect. Pudendal nerve block, unfortunately, lessens or shuts down the bearing-down reflex.
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