Nokea
A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?
- A. I'm having a contraction. Can I get the pudendal block now?'
- B. I'll get the pudendal block right before I deliver.'
- C. The nurse-midwife will insert the needles into my vagina.'
- D. It takes a few minutes after the medicine is administered to make me feel numb.'
Correct Answer: A
Rationale: The pudendal block does not block pain from contractions and is given just before birth.
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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.
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.
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.
What is the least amount of sensation that one perceives as pain?
- A. Tolerance
- B. Threshold
- C. Level
- D. Abatement
Correct Answer: B
Rationale: Pain threshold is the least amount of sensation that one perceives as pain. Thresholds are different for each individual.