Nokea
A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction?
- A. Use slow-paced breathing.
- B. Hold her breath and push.
- C. Blow in short breaths.
- D. Use rapid-paced breathing.
Correct Answer: C
Rationale: If a laboring woman feels the urge to push before the cervix is fully dilated, then she is taught to blow in short breaths to avoid bearing down.
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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.
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse's initial action?
- A. Stop the oxytocin infusion.
- B. Continue the infusion and report the findings to the physician.
- C. Turn her on her left side and reassess the contractions.
- D. Administer oxygen by mask.
Correct Answer: A
Rationale: Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.
Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?
- A. Hydroxyzine (Vistaril)
- B. Phenobarbital
- C. Naloxone (Narcan)
- D. Nitrous oxide
Correct Answer: C
Rationale: Naloxone (Narcan) is used to reverse respiratory depression caused by narcotics.
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 assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
- A. Bladder for distention
- B. Blood pressure
- C. Sensation in the lower extremities
- D. Intravenous fluid flow rate
Correct Answer: B
Rationale: Blood pressure is checked every 5 minutes when the epidural block is first begun. Bladder assessment is also important but not an initial assessment.