Certified Nurses Operating Room (CNOR) Practice Exam

Which type of block is used for gynecological procedures?

1. Intercostal block

2. Pudendal block

3. Retrograde block

4. Field block

The correct answer is: Pudendal block

The pudendal block is the appropriate choice for gynecological procedures because it specifically targets the pudendal nerve, which innervates the perineum and vulva. This type of nerve block provides effective analgesia for procedures in the female pelvic area, such as vaginal deliveries, episiotomies, and certain gynecological surgeries. The pudendal nerve is crucial for sensory perception in the lower regions and offers relief from pain during and after surgical interventions in the pelvic region. By utilizing a pudendal block, patients can experience reduced discomfort, improving their overall experience during surgery. This technique is particularly beneficial because it allows for pain management with minimal systemic effects on the patient. Other options like the intercostal block, while effective for pain relief in thoracic procedures, are not suitable for gynecological surgeries. The retrograde block, typically more associated with dental procedures, does not provide the necessary analgesia for pelvic surgery. A field block, which involves infiltrating a specific area with anesthetic, may not be as effective as the pudendal block for encompassing the needs of gynecological procedures. Therefore, the pudendal block is the most effective and commonly used option for these types of surgeries.