Maternity ch 7
A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?
"I'm having a contraction. Can I get the pudendal block now?"
The nurse is instructing a Lamaze class on abdominal breathing and tells a patient that her baseline respiratory rate is 22 breaths per minute. What should be the patient's rate while performing slow breathing?
11
The nurse is caring for a woman with epidural anesthesia for pain control during a vaginal delivery. A risk for injury related to epidural anesthesia has been identified by the nursing staff. What interventions are appropriate for the nurse to implement related to this diagnosis? (Select all that apply.)
A. Assess leg movement and sensation before ambulating C. Observe for signs of impending birth
How does the pain of childbirth differ from other types of pain? (Select all that apply.)
A. Childbirth pain is part of a normal process C. Position changes relieve pain and facilitate delivery D. Childbirth pain declines following birth E. Childbirth pain is self-limited.
What breathing techniques would the nurse teach the prenatal patient to help her focus during labor in order to reduce pain? (Select all that apply.)
A. First stage of breathing B. Abdominal breathing D. Modified pace breathing E. patterned paced breathing
What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
A. Infant care B. Breast feeding C. Gestational diabetes
Which are nonpharmacological forms of pain relief? (Select all that apply.)
A. Skin stimulation B. Diversion & distraction C. Breathing techniques
When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. What is a contraindication to an epidural block
Abnormal clotting
The physician has ordered Fentanyl (Sublimaze) for a woman in labor and has asked the nurse to provide patient education. What will the nurse include in the educational plan? (Select all that apply.)
B. Duration is short E. it's not the same drug as sufentanil
Which position(s) and exercise(s) will the nurse teach as beneficial in combating discomfort in the later stages of pregnancy? (Select all that apply.)
B. Pelvic rock C. Tailor sitting E. shoulder curling
The nurse is providing a conference on nonpharmacological pain control methods. What major advantages of nonpharmacological pain control methods will the nurse include in the presentation? (Select all that apply.)
B. They do not slow labor. C. They do not dull the excitement of the birth experience. D. They do not have the potential to cause allergic reactions. E. They do not have to be delayed until labor is well established.
What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
BLood pressure
A woman in labor has had an epidural block for pain relief. The nurse will be assessing carefully for what associated side effect of this type of regional anesthesia?
Bladder distention
A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction?
Blow in short breaths
A laboring patient requests hot and cold applications be applied to her abdomen for pain control. How will this intervention act to control pain?
By stimulation of large nerve fibers
The nurse coaches the primigravida not to bear down until the cervix is completely dilated. What may premature bearing down cause?
Cervical laceration
The massage technique that stimulates the large-diameter fibers in order to block impulses from the small-diameter fibers is ____________________
Effleurage
What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?
Encourage the pt to pant
What chemical substance(s) produced in the body acts as a natural pain reliever?
Endorphins
The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
Facial grimacing
What is the most appropriate nursing action to take when a laboring woman hyperventilates?
Help her breathe into her cupped hands
Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?
Hyperventilation
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient's expression of pain?
It is influenced by culture
A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
It might result in respiratory depression to the newborn
The ______________ ___________, also called the psychoprophylactic method, is the basis of most childbirth preparation classes in the United States.
Lamaze method
The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia?
Lie flat for several hours
The nurse who encourages the gate control theory of pain control would advise a woman in labor and her partner to use which nonpharmacological method of pain management?
Massage
Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?
Naloxone (narcan)
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting, "Please give me something for the pain. I can't take the pain!" What is the priority nursing diagnosis?
Pain related to uterine contraction
The amount of pain a person is willing to endure is referred to as ______________ ______________
Pain tolerance
What is the Dick-Read method of childbirth preparation based on?
Relaxation techniques
A nurse instructs a woman's labor coach to comfort her by firmly pressing on her lower back. What is this technique?
Sacral pressure
When caring for the laboring patient, the nurse determines that the fetus is located in the right occiput posterior (ROA). What will the nurse anticipate?
Severe lower back pain
A patient who received an epidural block asks why her blood pressure is taken so often. What is the nurse's best response to explain the frequent blood pressure assessments?
They ensure adequate placental perfusion
What is the least amount of sensation that one perceives as pain?
Threshold
A woman in labor will receive general anesthesia prior to cesarean section. The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery. What will this prevent?
Vomiting and aspiration
