A woman who is in her second trimester of pregnancy has suffered burns to her forearm from a steaming kettle. What amide local anesthetic can the nurse safely administer by the topical route during pregnancy?
A) Lidocaine
B) Mepivacaine (Carbocaine, Polocaine)
C) Bupivacaine (Marcaine, Sensorcaine)
D) Dibucaine (Nupercainal)
D
Feedback:
Dibucaine (Nupercainal) is local anesthetic administered topically to the affected area to induce pain relief. It is not absorbed systemically; therefore, it is considered safe during pregnancy. The other amides are not approved for use during pregnancy.
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