A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical ... effect of epidural anesthesia?

Correct Answer: C

Rationale: Epidural anesthesia can result in some common side effects, one of which is pruritus (itching). Pruritus is a known side effect of the local anesthetics used in epidural anesthesia and is due to their effects on specialized receptors in the nervous system. Patients may experience itching, especially in the face, neck, and upper chest areas. Polyuria (increased urine output), hypertension (high blood pressure), and dry mouth are not typically associated side effects of epidural anesthesia.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer. The nurse should educate the G1P0 client that she should gain 3.5 to 5 pounds in the first trimester and 1 pound per week in the last two trimesters. This information is crucial for the client to understand appropriate weight gain during pregnancy, which is vital for the health of both the mother and the developing fetus. Option B, contraception options after delivery, is not relevant to the client's current situation in the third trimester and does not address the educational need at this time. Option C, which states that the client should gain 10 pounds in each trimester, is incorrect as it provides inaccurate information about weight gain during pregnancy. Option D, regarding Group B strep (GBS) screening, is important but not directly related to the client's current educational needs about weight gain. Educationally, understanding appropriate weight gain during pregnancy is essential for prenatal care and ensuring optimal health outcomes for both the mother and the baby. Providing accurate information empowers the client to make informed decisions and engage in healthy behaviors throughout her pregnancy. By focusing on the correct answer, the nurse can support the client in achieving a healthy pregnancy and delivery.

Correct Answer: D

Rationale: The abnormal finding listed in option D, "To prevent the patient from urinating during space surgery," stands out from the rest of the options provided. This is because during space surgery, it is not necessary or appropriate to prevent the patient from urinating; rather, it is essential to focus on the surgical procedure and the patient's safety in a space environment. The other options focus on normal or abnormal physical examination findings in infants, such as the hydration status, fontanel appearance, suture line spacing, ear positioning, and uterus displacement.

Correct Answer: C

Rationale: In the context of pharmacology and the ATI Maternal Newborn Proctored Exam, understanding the concept of physiologic birth is crucial for nurses as they support women during labor. Option C, "If your partner and I give you support, you can have a birth without medical intervention," is the correct answer. This statement aligns with the principles of physiologic birth, which emphasizes allowing the natural process of labor to unfold without unnecessary medical interventions unless medically indicated. Providing continuous support, comfort measures, and a conducive environment can enhance the woman's ability to cope with labor and promote a positive birth experience. Option A, "Physiologic birth involves interventions that do not harm the baby," is incorrect because physiologic birth actually focuses on minimizing interventions that may not be necessary, rather than involving interventions that are harmless to the baby. Option B, "Physiologic birth occurs only in birth centers," is incorrect as physiologic birth can occur in various settings, including hospitals, as long as the approach to care aligns with the principles of supporting the natural process of labor. Option D, "If you want to have a cesarean birth, we can ask your health-care provider to schedule it," is incorrect as it promotes the idea of scheduling a cesarean birth, which is not in line with the concept of physiologic birth that advocates for supporting normal labor and birth processes whenever possible. Educationally, it is important for nurses to understand the principles of physiologic birth to provide optimal care and support to women during childbirth. By recognizing the significance of non-intervention unless necessary, nurses can empower women to have a positive birth experience while promoting maternal and newborn well-being.

Correct Answer: A

Rationale: A platypelloid pelvis is characterized by a flat shape with a shortened anteroposterior diameter, which can impede fetal descent during labor. This pelvic type is associated with an increased risk of dystocia, which is difficulty in childbirth due to inadequate progress of labor. The flat shape of the pelvis may lead to improper positioning of the baby, making it challenging for the fetus to navigate through the birth canal. This can result in prolonged labor, increased risk of birth injuries, and potential complications for both the mother and the baby. In some cases, it may necessitate interventions such as labor induction or cesarean delivery to ensure a safe outcome for the mother and the baby.