Nokea
A patient who received an epidural block asks why her blood pressure is taken so often. What is the nurse's best response to explain the frequent blood pressure assessments?
- A. They ensure that unsafe levels of hypertension do not occur.
- B. They help assess for the need for further pain relief.
- C. They monitor the progress of labor.
- D. They ensure adequate placental perfusion.
Correct Answer: D
Rationale: The hypotension that accompanies an epidural block may cause inadequate perfusion of the placenta, leading to fetal hypoxia.
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The nurse coaches the primigravida not to bear down until the cervix is completely dilated. What may premature bearing down cause?
- A. Increased use of oxygen
- B. Cervical laceration
- C. Uterine rupture
- D. Compression of the cord
Correct Answer: B
Rationale: Bearing down against a cervix that is not dilated can cause edema and laceration to the cervix.
How does the pain of childbirth differ from other types of pain? (Select all that apply.)
- A. Childbirth pain is part of a normal process.
- B. Childbirth pain seldom needs narcotic relief.
- C. Position changes relieve pain and facilitate delivery.
- D. Childbirth pain declines following birth.
- E. Childbirth pain is self-limited.
Correct Answer: A,C,D,E
Rationale: Childbirth pain differs from other types of pain, because it is part of a normal, natural, and expected process, can be relieved by change of position, declines immediately following birth, and is self-limiting. Childbirth pain requires pharmacological management with narcotics in many cases.
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.
What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
- A. Infant care
- B. Breastfeeding
- C. Gestational diabetes
- D. Sources of financial aid
- E. Yoga
Correct Answer: A,B,C
Rationale: Prenatal classes include such topics as infant care, breastfeeding, gestational diabetes, exercising, and sibling and grandparent preparation. Yoga and financial information are not traditional content for prenatal instruction.
The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia?
- A. Restrict oral fluids.
- B. Keep legs flexed.
- C. Walk with assistance as soon as possible.
- D. Lie flat for several hours.
Correct Answer: D
Rationale: The woman would be advised to remain flat for several hours after the block to decrease the chance of postspinal headache.