Matetnal Childhood Chapter 9 Review
A nurse applies an ice pack to the client's back for 20 minutes. What clinical indicator helps the nurse determine the effectiveness of the treatment?
Local 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 contractions 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 interventiosn are essential before epidural anesthesia is administered? Select all that apply.
1. Perform a basline vaginal examination. 2. Tell the adolescent what to expect with each procedure. 3. Identify risk factors that contraindicate epidural anesthesia.
A client in active labor becomes very uncomfortable and asks the nurse for pain medication. Nalbuphine is prescribed. How does this medication relieve pain?
Acts on opioid receptors to reduce pain.
Which breathing technique should the nurse instruct the client to use as the head of the fetus is crowning?
Blowing
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 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 is caring for an obese client with early labor. The anesthesiologist discussed several types of analgesia/anesthesia with the client and recommended one. The client requests clarification before signing the consent form. Which type did the anesthesiologist recommend?
Epidural anesthesia
A nurse has just finished reviewing how anesthesia will be used during a vaginal birth for a client with class 1 heart disease. What type od 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 help 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 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 viginal signs, what should the nurse do next?
Provide the client with confort measures used for women in labor.
What position should a nurse teach a client to avoid when the client is experiencing back pain during labor?
Supine
During labor of a client who has been recieving epidural anesthesia has a sudden episode of severe nausea, and her skin become pale and clammy. What is the nurse's immediate reaction?
Turn the client on her side
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 cleint's feelings, what is the next best intervention?
"I'll rub your back, and you tell me if it helps."
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 pregnant client is now in the third trimester. The client tells the nurse, "I want to be knocked out for the birth." How should the nurse respond?
"You don't want to be awake during the birth."
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?
1. Cleansing breaths 2. Slow, deep breaths 5. Modified- paced breathing 3. Pant- blow breathing 4. Slow, exhalation pushing
A client with an inflamed sciatic nerve is to have a conventional treanscutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operationg the TENS unit, which nursing action is appropriate?
Adjust the dial on the unit until the client states the pain is relieved.
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.
A nurse is caring for a primigravida during labor. At 7 cm dialtion a prescribed pain medication is administered. Which medication requires monitoring of the newborn for the side effect of respiratory despression?
Meperidine hydrochloride
What does a urse consider the most significant influence on many client's preception of pain when interpreting findings from a pain assessment?
Previous experience and cultural values