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SANC Midwifery (SANC- Midwifery) Practice Tests & Test Prep by Exam Edge - Free Test


Our free SANC Midwifery (SANC- Midwifery) Practice Test was created by experienced educators who designed them to align with the official South African Nursing Council content guidelines. They were built to accurately mirror the real exam's structure, coverage of topics, difficulty, and types of questions.

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SANC Midwifery - Free Test Sample Questions

Indications for the use of epidural analgesia/anesthetic include which of the following?

Correct Answer:
all of the above
epidural analgesia/anesthesia is a regional anesthesia technique often used to manage pain during labor and various surgical procedures. here are expanded explanations for the indications of epidural use for each listed scenario:

**relief of pain in active labor:** epidural analgesia is a popular choice for pain relief during active labor. it involves the injection of anesthetics into the epidural space surrounding the spinal cord, which blocks the pain signals traveling to the brain. this method allows the mother to remain awake and alert during labor while experiencing significantly reduced pain. it can be particularly beneficial in cases of prolonged labor or when the pain is too intense for the mother to handle comfortably.

**operative vaginal birth:** in cases of operative vaginal births, which include interventions like the use of forceps or vacuum extraction, epidural analgesia can provide effective pain control. this not only helps in managing pain during the procedure but also aids in relaxing the pelvic muscles, which can facilitate a smoother delivery process. the precision of epidural drug delivery helps maintain the mother’s comfort while allowing her to be conscious and active in pushing, if possible.

**cesarean section:** epidural anesthesia is also extensively used for cesarean sections. it is preferable in many cases because it allows the mother to be awake during the birth and provides effective pain relief. since the epidural can be topped up with stronger or additional anesthetics if needed, it offers flexibility depending on the length and complexity of the surgery. this is particularly important in emergency cesarean sections where rapid pain management is necessary.

**overall considerations:** the choice of epidural analgesia/anesthesia encompasses all the above scenarios, making it a versatile option in obstetric and surgical settings. it is suitable for managing pain across different types of deliveries and surgical interventions in the lower body. in addition to the pain relief, epidural usage can be adapted to particular medical needs such as reducing the strain on the heart in mothers with cardiac conditions by diminishing expulsive efforts during labor.

**contraindications:** despite its benefits, epidural analgesia/anesthesia is not suitable for everyone. contraindications include conditions like a local infection at the intended site of needle insertion, untreated systemic infections (sepsis), and cases of severe maternal hemodynamic instability where lowering blood pressure could be detrimental. a thorough evaluation by healthcare professionals is essential to determine the suitability of an epidural for each individual case. understanding these indications and contraindications helps ensure that epidural analgesia/anesthesia is used effectively and safely, optimizing maternal and fetal outcomes during childbirth and other medical procedures.