What is the expected effect of pudendal anesthesia?

Correct Answer: A

Rationale: The correct answer is A: loss of sensation in the perineum. Pudendal anesthesia specifically targets the pudendal nerve, which supplies sensation to the perineum. By blocking this nerve, the expected effect is a loss of sensation in the perineal region. Choices B, C, and D are incorrect because pudendal anesthesia does not affect motor function, consciousness, or the ability to move one's legs. It is important to understand the specific nerve being targeted and its function to determine the expected effects of anesthesia.

Correct Answer: D

Rationale: The correct answer is D: pain during injection. Local anesthesia may cause pain during injection due to the needle piercing the skin, which can be uncomfortable for the patient. This is a common disadvantage of local anesthesia. A: Decreased motor function is not a typical disadvantage of local anesthesia as it mainly affects sensory nerves rather than motor nerves. B: Nausea is not a direct side effect of local anesthesia as it does not affect the gastrointestinal system. C: Hypotension is not a common disadvantage of local anesthesia, as it typically does not have a significant impact on blood pressure unless administered in large amounts or combined with other medications that can lower blood pressure.

Correct Answer: C

Rationale: The correct answer is C: During the increment of the next contraction. This is the best time for assessment as the patient is likely to be more focused and cooperative during this phase. Asking questions or performing procedures during the contraction or immediately after may be distracting or uncomfortable for the patient. Waiting until the contraction is over (choice A) may delay necessary assessment. Waiting for the coach's approval (choice B) may not always align with the patient's needs. Waiting until after administration of analgesic-anesthetic (choice D) may not be timely for necessary assessment and may also impact the patient's ability to provide accurate information.

Correct Answer: C

Rationale: The correct answer is C because nonpharmacologic pain management methods, such as relaxation techniques or massage, do not involve medications that could potentially harm the fetus. This ensures there are no side effects or risks to the fetus during labor. Option A is incorrect as nonpharmacologic pain management does not necessarily guarantee a more rapid labor. Option B is incorrect because while nonpharmacologic methods can provide pain relief, it may not always be more complete compared to pharmacologic options. Option D is incorrect as some nonpharmacologic methods may alter alertness levels, such as hypnosis.

Correct Answer: C

Rationale: The correct answer is C: pudendal. Pudendal nerve block is specifically used to provide anesthesia to the lower vagina and perineum during labor. This block targets the pudendal nerve, which innervates these areas, providing effective pain relief for childbirth. A local anesthetic is more general and may not specifically target the lower vagina and perineum. Epidural anesthesia is typically used to provide pain relief during labor but does not specifically target the lower vagina and perineum. A spinal block provides anesthesia for a larger area including the lower abdomen and legs, not specifically the lower vagina and perineum.