Nokea
A woman in labor will receive general anesthesia prior to cesarean section. The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery. What will this prevent?
- A. Nausea and vomiting
- B. Vomiting and aspiration
- C. Abdominal cramping
- D. Intestinal obstruction
Correct Answer: B
Rationale: The major adverse effect of general anesthesia is aspiration of stomach contents.
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Which are nonpharmacological forms of pain relief? (Select all that apply.)
- A. Skin stimulation
- B. Diversion and distraction
- C. Breathing techniques
- D. Exercise
- E. Yoga
Correct Answer: A,B,C
Rationale: Skin stimulation, diversion and distraction, and breathing techniques are the bases of nonpharmacological pain control. Although exercise and practices such as yoga and Pilates are beneficial, they are not means of pain control.
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.
What is the most appropriate nursing action to take when a laboring woman hyperventilates?
- A. Help her breathe into her cupped hands.
- B. Place her flat on her back.
- C. Initiate oxygen at 2 liters via mask.
- D. Notify the doctor.
Correct Answer: A
Rationale: Measures to combat hyperventilation include breathing into cupped hands or a paper bag or holding breath for a few seconds. All of these techniques decrease PCO2.
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.
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.