Chapter 16 MATERNAL

A woman states that she does not want any medication for pain relief during labor. Her primary care provider has approved this for her. What the nurse's best response to her concerning this choice? *

"I respect your preference, whether it is to have medication or not."

A nurse recommends to a client in labor to try concentrating intently on a photo of her family as a means of managing pain. The woman looks skeptical and asks, "How would that stop my pain?" Which explanation should the nurse give?

"It distracts your brain from the sensations of pain."

"The work on this exam is my own and I pledge to not use any outside sources or people to help me. By clicking True I pledge that I will not cheat, so is Kim handsome or not?".

A. YES B. ABSOLUTELY C. TRUE D. CORRECT E. ALL OF THE ABOVE

A woman has just received IV sedation. What must the nurse tell the woman to do?

Ambulate only with assistance from the nurse or caregiver.

The labor nurse reports to the nurse on the oncoming shift, "The woman in labor room 2 is handling her pain very well. She smiles whenever I go in to talk to her, and she doesn't complain at all!" What assessment by the oncoming labor nurse would best reveal if the off-going labor nurse's observations were correct?

Asking the woman to describe her pain and rate it on a scale of 0 to 10

The client and her partner have prepared for a natural birth and bring a picture of a sunset over the ocean with them. The nurse predicts they will be using which technique during labor?

Attention focusing

A 19-year-old first-time mother in the second stage of labor who has been given an epidural reports severe, unrelenting abdominal pain and rates it as 10 on a scale of 0 to 10. As the nurse, what should you do?

Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other undiagnosed complication.

The nurse offers to teach patient-controlled breathing to help with pain management until she received her epidural. which instruction by the nurse would be best?

breathe in as slowly as you can and then breathe out just as slowly

patient has chosen to have epidural anesthesia and the nurse has consequently informed the anesthesiologist. what are two risks that potentially associated with this form of anesthesia?

hypotension and a prolonged second stage of Labor can occur

oral antacid to be given before general anesthesia is administered, to reduce the level of acid in stomach contents should aspiration occur during General Anesthesia

ranitidine

The injection of a local anesthetic to block specific nerve pathways is referred to as

regional block.

The coach of a client in labor is holding the client's hand and appears to be intentionally applying pressure to the space between the first finger and thumb on the back of the hand. The nurse recognizes this as which form of therapy?

acupressure

A client asks why she should learn breathing patterns for labor. After instruction is given, the nurse determines teaching has been effective when the client states: *

"Breathing patterns are distraction techniques taught to decrease pain in labor."

A woman's husband expresses concern about risk of paralysis from an epidural block being given to his wife. Which would be the most appropriate response by the nurse?

"The injection is given in the space outside the spinal cord."

patient asks the nurse if she could safely use warm water tub bathing during labor. which answer by the nurse would be best?

yes. as long as your membranes are not ruptured

A pregnant client mentions to the nurse that a friend has given her a variety of herbs to use during her upcoming labor to help manage pain. Specifically, she gave her chamomile tea, raspberry leaf tea, skullcap, catnip, jasmine, lavender, and black cohosh. Which of these should the nurse encourage the client not to take because of the risk of acute toxic effects such as cerebrovascular accident?

Black cohosh

The nurse is assisting a woman through labor, monitoring her closely now that she has received an epidural. The nurse would report which finding to the anesthesiologist?

Inability to push

General anesthesia is not used frequently in obstetrics because of the risks involved. There are physiologic changes that occur during pregnancy that make the risks of general anesthesia higher than it is in the general population. What is one of those risks?

Neonatal depression is possible.

Pain can be halted in three points, except

motor sensory end

To ensure safe anesthesia administration, ananesthesiologist or nurse anesthetist needs a minimum of sixdrugs readily available. This medication will be use in event of falling blood pressure

ephedrine

Patient is having a painful labor. she asked the nurse if she should have hired a doula. the nurse identifies which answer as best?

That's an individual choice, but I doula can serve as an important support person.