Pharmacologic Pain Management During Labor
Pharmacologic Pain Management During Labor ( 10 Questions)
A nurse is planning to administer paracervical block to a client in labor.
Which of the following areas should the nurse inject local anesthetics into?
the paracervical area at 12 o’clock and 6 o’clock positions are not commonly used for paracervical block and may not provide adequate anesthesia.
The paracervical area at 3 o’clock and 9 o’clock positions. This is because a paracervical block is an anesthetic procedure in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices. The injection sites are usually at 10 o’clock, 8 o’clock, 2 and 4 o’clock positions, but for labor pain relief, the 3 o’clock and 9 o’clock positions are preferred.
the pudendal nerve near the ischial spine on both sides is the target for a pudendal block, not a paracervical block.
The paracervical area at 3 o’clock and 9 o’clock positions. This is because a paracervical block is an anesthetic procedure in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices. The injection sites are usually at 10 o’clock, 8 o’clock, 2 and 4 o’clock positions, but for labor pain relief, the 3 o’clock and 9 o’clock positions are preferred.
