Question 1

Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?

Accepted Answer

A)   Narcotics
B)   Spinal block
C)   Epidural anesthesia
D)   Breathing and relaxation techniquesE) All of the above
F) A) and B)

Question 2

A major advantage of nonpharmacologic pain management is

Accepted Answer

A)   a more rapid labor is likely.
B)   more complete pain relief is possible.
C)   the woman remains fully alert at all times.
D)   there are no side effects or risks to the fetus.E) A) and D)
F) A) and C)

Question 3

The health care provider's prescription reads diphenhydramine (Benadryl), 25 mg IV stat. The medication vial reads diphenhydramine (Benadryl), 50 mg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer to one decimal point. _____ mL

Accepted Answer

0.5
Desired/availabl...

Question 4

Which fetal position may cause the laboring patient increased back discomfort?

Accepted Answer

A)   Left occiput anterior
B)   Left occiput posterior
C)   Right occiput anterior
D)   Right occiput transverseE) A) and B)
F) A) and C)

Question 5

You are preparing a patient for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

Accepted Answer

A)   Administer a bolus of 500 to 1000 mL of D5 normal saline prior to catheter placement.
B)   Have ephedrine available at bedside during catheter placement.
C)   Monitor blood pressure of patient frequently during catheter insertion and for the first 15 minutes of epidural administration.
D)   Insert a Foley catheter prior to epidural catheter placement.
E)   Monitor the patient for hypertension in response to epidural insertion.F) C) and D)
G) B) and E)

Question 6

The nurse is teaching a childbirth education class. Which information regarding excessive pain in labor should the nurse include in the session?

Accepted Answer

A)   It usually results in a more rapid labor.
B)   It has no effect on the outcome of labor.
C)   It is considered to be a normal occurrence.
D)   It may result in decreased placental perfusion.E) None of the above
F) A) and C)

Question 7

A patient in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with

Accepted Answer

A)   visceral pain.
B)   tissue ischemia.
C)   somatic pain.
D)   cervical dilation.E) B) and D)
F) A) and B)

Question 8

The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?

Accepted Answer

A)   Decreased maternal blood pressure as a result of stimulation of alpha receptors
B)   Uterine vasoconstriction as a result of stimulation of beta receptors
C)   Increased maternal demand for oxygen
D)   Increased blood flow to placenta because of catecholamine releaseE) C) and D)
F) A) and D)

Question 9

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?

Accepted Answer

A)   Perform a vaginal exam to denote progress.
B)   Reposition the patient to a side lying position.
C)   Instruct the patient to breathe into her cupped hands.
D)   Notify the physician about current findings.E) C) and D)
F) A) and B) C

Question 10

To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should

Accepted Answer

A)   give the woman oxygen.
B)   turn the woman to the right side.
C)   decrease the intravenous infusion rate.
D)   place a wedge under the woman's right hip.E) A) and B)
F) None of the above

Question 11

Which patient will most likely have increased anxiety and tension during labor?

Accepted Answer

A)   Gravida 2 who refused any medication
B)   Gravida 2 who delivered a stillborn baby last year
C)   Gravida 1 who did not attend prepared childbirth classes
D)   Gravida 3 who has two children younger than 3 yearsE) A) and B)
F) A) and C)

Question 12

A labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of

Accepted Answer

A)   focal point.
B)   distraction.
C)   effleurage.
D)   relaxation.E) B) and D)
F) A) and D)

Question 13

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

Accepted Answer

A)   Maternal pulse
B)   Maternal temperature
C)   Maternal blood pressure
D)   Maternal blood glucose levelE) B) and C)
F) C) and D)

Question 14

A patient presents to the labor and birth area for emergent birth. Vaginal exam reveals that the patient is fully dilated, vertex, +2 station, with ruptured membranes. The patient is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. What is the priority nursing response based on this patient assessment?

Accepted Answer

A)   Use contact anesthesia for an epidural and prepare the patient per protocol.
B)   Tell the patient that she will not need any pain medication because the birth will be over in a matter of minutes and the pain will stop.
C)   Assist the patient with nonpharmacologic methods of pain distraction during this time as you prepare for vaginal birth.
D)   Call the physician for admitting orders.E) A) and C)
F) None of the above C

Question 15

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is referred to as a(n)

Accepted Answer

A)   local.
B)   epidural.
C)   pudendal.
D)   spinal block.E) B) and C)
F) A) and C)

Question 16

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)

Accepted Answer

A)   Citric acid (Bicitra) 
B)   Ranitidine (Zantac) 
C)   Hydroxyzine (Vistaril) 
D)   Glycopyrrolate (Robinul) 
E)   Promethazine (Phenergan) F) A) and C)
G) B) and D)

Question 17

The primary side effect of maternal narcotic analgesia in the newborn is

Accepted Answer

A)   tachypnea.
B)   bradycardia.
C)   acrocyanosis.
D)   respiratory depression.E) B) and D)
F) All of the above D

Question 18

To relieve a mild postdural puncture headache, the nurse should encourage the intake of

Accepted Answer

A)   milk.
B)   orange juice.
C)   tea or coffee.
D)   beef or chicken bouillon.E) B) and D)
F) C) and D)

Question 19

Which physiologic effect may occur in the presence of increased maternal pain perception during labor?

Accepted Answer

A)   Increase in uterine contractions in response to catecholamine secretion
B)   Decrease in blood pressure in response to alpha receptors
C)   Decreased perfusion to the placenta in response to catecholamine secretion
D)   Increased uterine blood flow, causing increase in maternal blood pressureE) B) and C)
F) A) and D)

Question 20

A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would

Accepted Answer

A)   assist her into the shower.
B)   apply a heat pack to lower back.
C)   help her to create a relaxing mental scene.
D)   encourage cleansing breaths and slow-paced breathing.E) A) and D)
F) A) and C)

Exam 13: Pain Management During Childbirth

Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?

Correct Answer
verified

A major advantage of nonpharmacologic pain management is

Correct Answer
verified

The health care provider's prescription reads diphenhydramine (Benadryl), 25 mg IV stat. The medication vial reads diphenhydramine (Benadryl), 50 mg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer to one decimal point. _____ mL

Correct Answer
verified
0.5
Desired/availabl...
View Answer

Which fetal position may cause the laboring patient increased back discomfort?

Correct Answer
verified

You are preparing a patient for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

Correct Answer
verified

The nurse is teaching a childbirth education class. Which information regarding excessive pain in labor should the nurse include in the session?

Correct Answer
verified

A patient in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with

Correct Answer
verified

The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?

Correct Answer
verified

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?

Correct Answer
verified
C

To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should

Correct Answer
verified

Which patient will most likely have increased anxiety and tension during labor?

Correct Answer
verified

A labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of

Correct Answer
verified

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

Correct Answer
verified

Correct Answer
verified
C

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is referred to as a(n)

Correct Answer
verified

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)

Correct Answer
verified

The primary side effect of maternal narcotic analgesia in the newborn is

Correct Answer
verified
D

To relieve a mild postdural puncture headache, the nurse should encourage the intake of

Correct Answer
verified

Which physiologic effect may occur in the presence of increased maternal pain perception during labor?

Correct Answer
verified

A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would

Correct Answer
verified

Exam 13: Pain Management During Childbirth

Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?

Correct AnswerverifiedShow Answer

A major advantage of nonpharmacologic pain management is

Correct AnswerverifiedShow Answer

The health care provider's prescription reads diphenhydramine (Benadryl), 25 mg IV stat. The medication vial reads diphenhydramine (Benadryl), 50 mg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer to one decimal point. _____ mL

Correct Answerverified0.5Desired/availabl...View AnswerShow Answer

Which fetal position may cause the laboring patient increased back discomfort?

Correct AnswerverifiedShow Answer

You are preparing a patient for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is teaching a childbirth education class. Which information regarding excessive pain in labor should the nurse include in the session?

Correct AnswerverifiedShow Answer

A patient in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with

Correct AnswerverifiedShow Answer

The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?

Correct AnswerverifiedShow Answer

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?

Correct AnswerverifiedC

To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should

Correct AnswerverifiedShow Answer

Which patient will most likely have increased anxiety and tension during labor?

Correct AnswerverifiedShow Answer

A labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of

Correct AnswerverifiedShow Answer

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is referred to as a(n)

Correct AnswerverifiedShow Answer

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)

Correct AnswerverifiedShow Answer

The primary side effect of maternal narcotic analgesia in the newborn is

Correct AnswerverifiedD

To relieve a mild postdural puncture headache, the nurse should encourage the intake of

Correct AnswerverifiedShow Answer

Which physiologic effect may occur in the presence of increased maternal pain perception during labor?

Correct AnswerverifiedShow Answer

A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
verified
0.5
Desired/availabl...
View Answer

Correct Answer
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C

Correct Answer
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C

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D

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Correct Answer
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