The nurse is caring for a client immediately after epidural. Which of the following findings should the nurse report to the anesthesia provider?
Dizziness.
Blood pressure 88/52 mmHg.
Pain of 1 on a 0 to 10 scale.
Pulse 88 bpm.
The Correct Answer is B
Choice A rationale
Dizziness can be a side effect of epidural anesthesia, but it is not as critical as hypotension. It should be monitored, but it does not require immediate reporting unless it is severe or accompanied by other symptoms.
Choice B rationale
Blood pressure of 88/52 mmHg indicates hypotension, which is a common and potentially serious side effect of epidural anesthesia. Hypotension can lead to decreased placental perfusion and fetal distress, so it requires immediate attention and reporting to the anesthesia provider.
Choice C rationale
A pain level of 1 on a 0 to 10 scale indicates that the epidural is effectively managing the client’s pain. This is a positive outcome and does not require reporting.
Choice D rationale
A pulse of 88 bpm is within the normal range for an adult and does not indicate any immediate concern that needs to be reported to the anesthesia provider.
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Correct Answer is B
Explanation
Choice A rationale
Magnetic Resonance Imaging (MRI) is a non-invasive imaging technique that provides detailed images of the fetus and placenta. However, it is not typically used as the first-line test for assessing placental perfusion and IUGR. Doppler flow studies are more specific for evaluating blood flow and detecting issues related to placental insufficiency.
Choice B rationale
Doppler flow studies are non-invasive tests that assess blood flow in the umbilical artery and other fetal vessels. These studies are particularly useful in evaluating placental perfusion and identifying intrauterine growth restriction (IUGR). Abnormal Doppler flow patterns can indicate compromised blood flow to the fetus, which is a concern in cases of minimal fetal growth.
Choice C rationale
Amniocentesis is an invasive procedure that involves extracting a sample of amniotic fluid for genetic testing and assessment of fetal lung maturity. It is not used for evaluating placental perfusion or IUGR7.
Choice D rationale
Chorionic villus sampling (CVS) is an invasive procedure used for early genetic testing by sampling placental tissue. It is not used for assessing placental perfusion or IUGR7.
Correct Answer is B
Explanation
Choice A rationale
Early decelerations are characterized by a gradual decrease and return to baseline of the fetal heart rate that coincides with the peak of a contraction. They are typically benign and related to fetal head compression.
Choice B rationale
Late decelerations are characterized by a gradual decrease and return to baseline of the fetal heart rate that occurs after the peak of a contraction. They are associated with uteroplacental insufficiency and require prompt intervention to improve fetal oxygenation.
Choice C rationale
Variable decelerations are characterized by an abrupt decrease in fetal heart rate that varies in duration, intensity, and timing relative to contractions. They are often caused by umbilical cord compression and may require interventions to relieve the compression.
Choice D rationale
Prolonged decelerations are characterized by a decrease in fetal heart rate that lasts longer than 2 minutes but less than 10 minutes. They indicate a more severe and sustained disruption in fetal oxygenation and require immediate intervention.