Promoting patient comfort during labor and birth questions quizlet

Promoting patient comfort during labor and birth questions quizlet Related

Review Promoting patient comfort during labor and birth questions quizlet related questions and content

Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus. The charge nurse on the labor and birth unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? (Select all that apply.)

  • A. Fetal death
  • B. Postterm pregnancy
  • C. Rupture of membranes at or near term
  • D. Convenience of the patient or her health care provider
Correct Answer: B

Rationale: The correct answer is B: Postterm pregnancy. Induction of labor is considered appropriate for postterm pregnancies to prevent potential complications for the mother and fetus. Postterm pregnancy is defined as a pregnancy that extends beyond 42 weeks gestation, increasing the risk of stillbirth and other adverse outcomes. Therefore, inducing labor in postterm pregnancies can help to ensure the well-being of both the mother and fetus.

Rationale for Incorrect Choices:
A: Fetal death - Induction of labor is not appropriate in cases of fetal death as there is no live fetus to deliver.
C: Rupture of membranes at or near term - Rupture of membranes alone does not always necessitate induction of labor unless there are other medical indications.
D: Convenience of the patient or her health care provider - Induction of labor should not be performed for convenience but rather for medical reasons to ensure the safety of the mother and fetus.

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The nurse is monitoring a patient in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)

  • A. Maternal hypotension
  • B. Fetal heart rate of 140 to 150 bpm
  • C. Meconium-stained amniotic fluid
  • D. Maternal fever"”38°C (100.4°F) or higher
Correct Answer: A

Rationale: The correct answer is A: Maternal hypotension. Maternal hypotension can lead to decreased perfusion to the placenta, compromising fetal oxygenation. Other choices are incorrect. B: A fetal heart rate of 140 to 150 bpm is within the normal range during labor. C: Meconium-stained amniotic fluid may indicate fetal distress but is not a direct condition associated with fetal compromise. D: Maternal fever can indicate infection but does not directly indicate fetal compromise in the active stage of labor.

Which physiologic effect may occur in the presence of increased maternal pain perception during labor?

  • A. Increase in uterine contractions in response to catecholamine secretion
  • B. Decrease in blood pressure in response to alpha receptors
  • C. Decreased perfusion to the placenta in response to catecholamine secretion
  • D. Increased uterine blood flow, causing increase in maternal blood pressure
Correct Answer: C

Rationale: The correct answer is C. Increased maternal pain perception during labor can lead to decreased perfusion to the placenta due to catecholamine secretion. When a mother experiences pain, stress hormones like catecholamines are released, causing vasoconstriction of blood vessels, including those supplying the placenta. This vasoconstriction reduces blood flow to the placenta, potentially compromising fetal oxygenation and nutrient delivery.

Choice A is incorrect because increased catecholamine secretion would not directly cause an increase in uterine contractions. Choice B is incorrect because alpha receptors are not typically involved in decreasing blood pressure in response to pain perception. Choice D is incorrect because increased uterine blood flow would not cause an increase in maternal blood pressure; in fact, it would likely have the opposite effect as increased blood flow typically leads to decreased blood pressure.

A labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of

  • A. focal point.
  • B. distraction.
  • C. effleurag
  • D. relaxation
Correct Answer: A

Rationale: The correct answer is A: focal point. Placing the photograph on the wall serves as a focal point for the laboring patient, helping her to concentrate and stay focused during contractions. By having a specific point of visual focus, the patient can channel her energy and emotions towards the photo, providing a sense of comfort and motivation. It can also serve as a source of inspiration and reminder of the joy of motherhood, which can help in managing the pain and anxiety of labor.

Summary of other choices:
B: Distraction - While the photograph may provide a distraction, the primary purpose is to serve as a focal point for the patient.
C: Effleurage - Effleurage is a massage technique used in labor, not related to placing a photograph on the wall.
D: Relaxation - While the photograph may help in relaxation indirectly by providing comfort and focus, the primary purpose is not relaxation but rather concentration and emotional support.

A major advantage of nonpharmacologic pain management is

  • A. a more rapid labor is likely.
  • B. more complete pain relief is possibl
  • C. there are no side effects or risks to the fetus
  • D. the woman remains fully alert at all times.
Correct Answer: C

Rationale: The correct answer is C because nonpharmacologic pain management methods, such as relaxation techniques or massage, do not involve medications that could potentially harm the fetus. This ensures there are no side effects or risks to the fetus during labor. Option A is incorrect as nonpharmacologic pain management does not necessarily guarantee a more rapid labor. Option B is incorrect because while nonpharmacologic methods can provide pain relief, it may not always be more complete compared to pharmacologic options. Option D is incorrect as some nonpharmacologic methods may alter alertness levels, such as hypnosis.

While developing an intrapartum care plan for the patient in early labor, it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain. These include which of the following? (Select all that apply.)

  • A. Culture
  • B. Anxiety and fear
  • C. Support systems
  • D. Preparation for childbirth
Correct Answer: A

Rationale: Rationale: Culture can significantly impact a woman's perception and experience of pain during labor due to cultural beliefs, practices, and attitudes towards childbirth. Cultural norms and values can influence pain management preferences, coping mechanisms, and communication styles. Understanding the patient's cultural background is crucial for providing culturally competent care and addressing her psychosocial needs.

Summary of other choices:
B: Anxiety and fear - While anxiety and fear can influence a woman's pain experience, they are not specific to psychosocial factors related to culture.
C: Support systems - Support systems can affect a woman's labor experience, but they do not specifically relate to the influence of psychosocial factors such as culture.
D: Preparation for childbirth - Although preparation for childbirth can impact pain perception, it is not directly related to the influence of psychosocial factors like culture.

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