A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

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ATI Maternal Newborn Proctored Exam 2024 Questions

Question 1 of 5

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

Correct Answer: D

Rationale: Epidural anesthesia can cause hypotension as a common complication. This occurs because the local anesthetic affects the sympathetic nerves, leading to vasodilation and subsequent lowering of blood pressure. It is crucial for nurses to monitor the client's blood pressure closely and be prepared to administer IV fluids or medications to address the hypotension promptly. Vomiting, tachycardia, and respiratory depression are not typically associated with epidural anesthesia; therefore, hypotension is the most likely complication to be identified in this scenario.

Question 2 of 5

The nurse is preparing a client for an amniocentesis. What is the priority nursing action?

Correct Answer: A

Rationale: Ensuring informed consent is signed is a critical step before an invasive procedure like amniocentesis.

Question 3 of 5

The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by

Correct Answer: A

Rationale: Acute mastitis is inflammation of the breast tissue that may result from milk stasis, inadequate milk removal, or bacteria entering the breast tissue through cracks in the nipple. One of the key ways to prevent acute mastitis is by ensuring proper breastfeeding techniques. This includes ensuring a good latch to allow for effective milk removal, practicing frequent and complete emptying of the breasts, and alternating the position of the baby during feeding to ensure all parts of the breast are drained. Proper breastfeeding techniques help to prevent milk stasis and reduce the risk of developing mastitis.

Question 4 of 5

A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?

Correct Answer: B

Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.

Question 5 of 5

What blood test is important for potential blood type incompatibility issues during pregnancy?

Correct Answer: C

Rationale:

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