Chapter 9 Review
*Previous experience and cultural values
What does a nurse consider the most significant influence on many clients perception of pain when interpreting findings from a pain assessment?
*1-Deep-breathe slowly
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 mid-pelvis. What should the nurse instruct the partner to do that would alleviate the client's discomfort during contractions?
*4-Acts on opioid receptors to reduce pain
A client in active labor becomes very uncomfortable and asks a nurse for pain medication. Nalbuphine is prescribed. How does this medication relieve pain?
*3-Adjust the dial on the unit until the client states the pain is relieved.
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?
*3-Apply pressure to her back during contractions
A laboring client reports low back pain. What should a nurse recommended to the client's coach that will promote comfort?
*1-Local anesthesia
A nurse applies an ice pack to a clients back for 20 minutes. What clinical indicator helps the nurse determine the effectiveness of the treatment?
*3-Epidural regional
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 of anesthesia does the client discuss that indicates to the nurse that the teaching was effective?
*2-Help the client to maintain control.
How should a nurse direct care for a client in the transition phase of the first stage of labor?
*1,2,5,3,4(Cleansing breaths, slow deep breathes, Modified-paced breathing,Pant-blow breathing, and slow exhalation pushing)
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?
*2-Blowing
Which breathing technique should the nurse instruct the client to use as the head of the fetus is crowning?
*Fatigue may influence the need for pain medication
Why should a nurse teach pregnant women the importance of conserving the "spurt of energy" before labor?
*4-"Use the panting-breathing pattern
A client arrives in the birthing room with the fetal caput emerging. What should the Nurse tell the client to do during a contraction?
*3-Supine
What position should a nurse teach a client to avoid when the client is experiencing back pain during labor?
*1,2,3(Perform a baseline vaginal examination, Tell the adolescent what to expect with each problem, and Identify risk factors that contraindicate epidural anesthesia)
A nurse is caring for an adolescent......
*2-"I'll rub your back, and you tell me if it helps
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 clients feelings, what is the next best intervention?
*1-Meperidine hydrochloride
A nurse is caring for a primigravida during labor. A 7 cm dilation a prescribed pain medication is administered. Which medication requires monitoring of the newborn for the side effect of respiratory depression?
*1-Epidural anesthesia
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 signing the consent form. Which type did the anesthesiologist recommend?
*1-"You are worried about to much pain."
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?
*Provide the client with comfort measures used for women in labor
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 and maternal vital signs, what should the nurse do next?
*1-Turn the client on her side
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 nurses immediate reaction?
