Nokea
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient's expression of pain?
- A. It reduces the patient's perception of pain.
- B. It is intensified by the vertex position of the fetus.
- C. It is influenced by culture.
- D. It can be completely controlled by nonpharmacological techniques.
Correct Answer: C
Rationale: Culture influences how women feel about birth and what is an acceptable response to pain.
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Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?
- A. Hypertension
- B. Anxiety
- C. Anoxia
- D. Hyperventilation
Correct Answer: D
Rationale: Hyperventilation is sometimes a problem if a woman is breathing rapidly.
What would the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
- A. It can cause medication given at later stages to be ineffective.
- B. It will have no complications for the mother or infant.
- C. It may result in respiratory depression to the newborn.
- D. It will speed up labor and increase pain.
Correct Answer: C
Rationale: The risk of narcotic analgesics is that they cross the placenta and can cause fetal respiratory depression.
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting, 'Please give me something for the pain. I can't take the pain!' What is the priority nursing diagnosis?
- A. Pain related to uterine contractions
- B. Knowledge deficit related to the birth experience
- C. Ineffective coping related to inadequate preparation for labor
- D. Risk for injury related to lack of prenatal care
Correct Answer: A
Rationale: The most important issue for this woman, at this time, is effective pain management.
A woman in labor has had an epidural block for pain relief. The nurse will be assessing carefully for what associated side effect of this type of regional anesthesia?
- A. Reduced fetal heart rate
- B. Long, intense contractions
- C. Sudden leg cramps
- D. Bladder distention
Correct Answer: D
Rationale: A side effect of an epidural block is urine retention, because the anesthesia interferes with the woman's ability to have an urge to void. The patient may have to be catheterized.
What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?
- A. Offer warm liquids to the patient.
- B. Encourage the patient to pant.
- C. Engage the patient in conversation.
- D. Assist the patient to the knee-chest position.
Correct Answer: B
Rationale: Panting relaxes the abdominal wall and distracts the patient. It would not be helpful to offer fluids or to attempt conversation during contractions.