Chapters 8,9,10 Review
A laboring client reports low back pain. What should a nurse recommend to the client.s coach that will promote comfort?
Apply pressure to her back during contractions
Which breathing technique should the nurse instruct the client to use as the head of the fetus is crowning?
Blowing
In childbirth classes the nurse is teaching paced-breathing techniques to use during labor. In which order should the breathing techniques be used as labor progresses.
Cleansing breaths, slow, deep breaths, modified-paced breathing, pant-blow breathing
A client and her partner are working together during the woman's labor. The client's cervix is now dilated 7 cm and the presenting part is low in the midpelvis. What should the nurse instruct the partner to do that would alleviate the client's discomfort during contractions?
Deep-breathe slowly
A nurse has just finished reviewing how anesthesia will be used during a vaginal birth for a client with class I heart disease. What type of anesthesia does the client discuss that indicates to the nurse that the teaching was effective.
Epidural regional
why should a nurse teach pregnant women the importance of conserving the "spurt of energy" before labor?
Fatigue may influence the need for pain medication
How should a nurse direct care for a client in the transition phase of the first stage of labor?
Help the client to maintain control
A nurse applies an ice pack to a client's back for 20 minutes. What clinical indicator helps the nurse determine the effectiveness of the treatment.
Local anesthesia
A client is admitted to the birthing unit active labor. What should the nurse expect after an amniotomy is performed.
Progressive dilation and effacement
A client in the active phase of the first stage of labor begins to tremble, becomes very tense during contractions and is quite irritable. She frequently states, "I cannot stand this a minute longer." What does this behavior indicate to the nurse caring for her?
She is entering the transition phase of labor
A few hours after being admitted in early labor, A primigravida perspires profusely and becomes restless, flushed, and irritable. The client states that she is going to vomit. What phase of the first stage of labor does the nurse suspect that client has entered.
Transition
During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse's immediate reaction?
Turn the client on her side
A woman in labor hears the health care provider tell the nurse that the fetal lie is longitudinal. The mother asks the nurse what this means in relations to her labor and birth of the baby. How should the nurse respond?
"A vaginal birth is possible"
A client arrives in the birthing room with the fetal caput emerging. What should the nurse tell the client to do during a contraction.
"use the panting-breathing pattern"
A nurse is caring for a client who is having a prolonged labor. The client is annoyed and very concerned because her labor is deviating from what she perceives as normal. After the nurse has acknowledged the client's feelings, what is the next best intervention?
"ill rub your back and tell me if it helps
At a prenatal visit a client who is at 36 weeks gestation states that she is having uncomfortable irregular contraction what should the nurse recommend.
"walk around until they subside"
A client in active labor becomes very uncomfortable and asks a nurse for pain medication Nalbuphine is prescribed how does the medication relieve pain
Acts on opioid receptors to reduce pain
A primigravida is admitted to the birthing unit in early labor. A pelvic examination reveals that her cervix is 100% effaced and 3 cm dilated. The fetal head is at +1 station. In what area of the client's pelvis is the fetal occiput.
Below the ischial spines
How does the nurse identify true labor as opposed to false labor?
Cervical dilation is progressive
A nurse on the birth unit is assessing a primgravida who states that labor has begun. How does the nurse know that this client is in true labor.
Cervix is dilated
A primigravida who is at 40 weeks gestation arrives at the birthing center with abdominal cramping and a bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm dilation and the presenting part at - 1 station. after obtaining the fetal heart rate (FHR) and maternal vital signs, what should the nurse do next?
Provide the client with comfort measures used for women in labor
The fetus of a client in labor is assessed to be at - 1 station. Where did the nurse locate the fetus's head?
Slightly above the ischial spines
A client in active labor is admitted to the birthing room. A vaginal examination reveals the cervix to be 7 cm dilated. On the basis of this finding, what does the nurse expect the client to exhibit?
Strong contraction with interval of several minutes
A nurse assesses the frequency of a client's contraction by timing them from the beginning of a contraction until when?
To the beginning of the next contraction
A pregnant client is now in the third trimester the client tells the nurse "I want to be knocked out for birth" How should the nurse respond.
You dont want to be awake during the birth
A nurse is caring for an obese client in early labor. The anesthesiologist discussed several types of analgesia/anesthesia with the client and recommended one. The client requests clarification before before signing the consent form. What type did the anesthesiologist recommend.
epidural anesthesia
A nurse is caring for an adolescent in labor an hour after she was admitted to the birthing unit. The adolescent is anxious and tense. She cries during contraction and asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current vital signs and reviews her history and admission information. What nursing intervention are essential before epidural anesthesia is administered.
perform a baseline vaginal examination , tell the adolescent what to expect with each procedure, identify risk factors that contraindicate epidural anesthesia
What position should a nurse teach a client to avoid when the client is experiencing back pain during labor?
supine
A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operating the TENS unit, which nursing action is appropriate.
Adjust the dial on the unit until the client states the pain is relieved
A nurse is teaching a primigravida about how she can identify the onset of labor. What clinical indicator of labor would necessitate the client to call her health care provider?
Membranes rupture or contraction are 5 to 8 minutes apart.
A nurse is caring for a primigravida during labor. At 7 cm dilation a prescribed pain medication is administered which medication requires monitoring of the newborn for the side effect of respiratory depression
Meperidine hydrochloride
A nurse is caring for a primigravida during labor. What does the nurse observe that indicates birth is about to take place?
Perineum begins to bulge with each contraction
A nurse is caring for client in labor. What client response indicates that the transition phase of labor probably has begun.
Perspires and has a flushes face
what does a nurse consider the most significant influence on many clients's perception of pain wen interpreting findings from a pain assessment.
previous experience and cultural values