Question 1

When instructing the woman in early labor,the nurse teaches her that an important aspect of proper breathing technique is

Accepted Answer

Beginning and ending with a cleansing breath helps to clear the airways and focus the woman's attention on her breathing. The other options do not necessarily reflect proper breathing techniques.

Question 2

While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include (select all that apply)

Accepted Answer

Culture, anxiety and fear, previous experiences with pain, and support systems are all psychosocial factors that can affect a woman's experience of pain during childbirth. The intervention of caregivers may also have an impact, but it is not solely a psychosocial factor. Therefore, options A, B, C, and E are the best choices.

Question 3

Which intervention may be most helpful for the patient experiencing most of her labor pain in her back?

Accepted Answer

Applying firm pressure to the sacrum can help relieve back pain during labor by providing counter pressure and reducing tension in the muscles of the lower back. Lying supine with head slightly elevated and sitting upright with legs straight may not provide the necessary pressure relief in the back, and having the nurse massage the upper back may not effectively address the source of the pain.

Question 4

A newborn infant weighing 8 lb (3632 g)needs naloxone (Narcan).This infant should receive approximately _____ mg.

Accepted Answer

The recommended dose of naloxone for newborns is 0.1 mg/kg. This infant weighs 3632 g, which is equivalent to 8 lb. Therefore, the infant should receive approximately 0.36 mg of naloxone (3632 g x 0.1 mg/kg = 0.36 mg).

Question 5

Today the pregnant woman has a number of non-pharmacologic measures available to her to assist with pain relief in labor.One such measure involves the application of heat,cold,or pressure to specific areas of the body and is known as _________.

Accepted Answer

The answer of Today the pregnant woman has a number...

Question 6

Which technique could the support person use when the laboring woman appears to be losing control?

Accepted Answer

Making eye contact with the woman and breathing along with her can help the support person establish a calming and supportive connection, helping the woman regain control and focus on her breathing through the contraction. The other options may increase the woman's anxiety or tension, making it harder for her to cope with the labor pain.

Question 7

The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.Fever with no apparent infection may occur in women who have epidural analgesia.The neonate's temperature may be elevated as well,possibly leading to unnecessary treatment for neonatal sepsis.Possible explanations for epidural associated fever without infection include (select all that apply)

Accepted Answer

The answer of The nurse is caring for a laboring...

Question 8

To assist the woman after delivery of the infant,the nurse knows that the blood patch is used after spinal anesthesia to relieve

Accepted Answer

The blood patch is used to relieve headache after spinal anesthesia, which may occur due to a decrease in cerebrospinal fluid pressure. It is not used to treat hypotension, neonatal respiratory depression, or loss of movement.

Question 9

The Joint Commission has recognized that pain management is an essential part of care in all health care settings.Since many women may desire an un-medicated birth,the pain management standards set by The Joint Commission do not apply in a labor setting.Is this statement true or false?

Accepted Answer

The nurse must still evaluate the patient's level of pain and discuss nonpharmacologic comfort interventions that may be part of her birth plan.The patient has the right to effective pain management and must be competently and routinely assessed and managed.The woman may also change her plan for pain management as her labor progresses.Education of the woman and her family regarding postpartum pain control must also be included in her discharge teaching.

Question 10

What is the first type of breathing technique used in labor?

Accepted Answer

Slow-paced breathing is typically the first technique taught and used in labor to help manage pain and promote relaxation.

Question 11

Which type of cutaneous stimulation involves massage of the abdomen?

Accepted Answer

Effleurage involves long, sweeping strokes with light pressure on the skin, typically used in massage therapy. It is often used to stimulate circulation and promote relaxation in the abdominal area. Thermal stimulation involves the use of heat or cold to stimulate the skin, while imagery and mental stimulation involve visualization and mental focus, respectively.

Question 12

To provide optimal care to the intrapartum woman,the nurse understands that the least favorable maternal position for labor is

Accepted Answer

The supine position is the least favorable maternal position for labor as it can decrease blood flow to the uterus, increase the risk of fetal distress and compromise maternal cardiovascular function. It is recommended that the woman be encouraged to use upright/moving positions during labor as it provides gravity-assisted descent of the fetal head, increases pelvic diameters, and optimizes blood flow to the uterus. The best positions for labor are standing, squatting, hands and knees, and side-lying.

Question 13

The use of hydrotherapy is an important nonpharmacologic modality to promote relaxation in labor.The nurse should offer the woman in labor a warm bath or shower (if no contraindications exist).The mild nipple stimulation that occurs in the water may intensify her contractions.Is this statement true or false?

Accepted Answer

Especially in a woman whose labor has slowed,the nipple stimulation will cause her posterior pituitary gland to secrete oxytocin.The release of this hormone may intensify labor contractions.

Question 14

Many methods of nonpharmacologic pain control become less effective after prolonged use.This is a process called _________.

Accepted Answer

The answer of Many methods of nonpharmacologic pain control become...

Question 15

Which patient is most likely to experience pain during labor?

Accepted Answer

Anxiety about a difficult previous labor can increase a woman's perception of pain during labor.

Quiz 18: Pain Management for Childbirth