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

The laboring person is in pain and very anxious. They do not want to use traditional pain relief methods. What can the nurse offer the laboring person to help with relaxation and reducing anxiety?

  • A. lavender oil
  • B. epidural
  • C. nalbuphine hydrochloride (Nubain)
  • D. cold rag
Correct Answer: A

Rationale: The correct answer is A: lavender oil. Lavender oil is a natural remedy known for its calming and relaxing properties, which can help reduce anxiety and promote relaxation in laboring individuals. It is safe and non-invasive, making it an ideal choice for someone who does not want traditional pain relief methods.

Incorrect choices:
B: Epidural is a commonly used pain relief method that involves injecting anesthesia into the epidural space, providing effective pain relief but not specifically targeting relaxation and anxiety reduction.
C: Nalbuphine hydrochloride (Nubain) is a synthetic opioid analgesic that can help manage pain but may not address the individual's desire for non-traditional methods.
D: Cold rag may provide some temporary relief for discomfort but may not be as effective in promoting relaxation and reducing anxiety compared to the calming effects of lavender oil.

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The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?

  • A. Expulsion
  • B. Restitution
  • C. Internal rotation
  • D. External rotation
Correct Answer: A

Rationale: After the baby's head is born, the immediate next step is the expulsion of the baby's body. This is because the expulsion maneuver refers to the delivery of the rest of the baby's body following the birth of the head. Restitution, internal rotation, and external rotation occur before the birth of the baby's head and are part of the cardinal movements of labor and birth. Restitution involves the realignment of the baby's head with their body after the head is born. Internal rotation refers to the baby's head turning to navigate through the birth canal. External rotation involves the baby's head turning back to its original position after delivery. So, the correct answer is A (Expulsion), as it directly follows the birth of the baby's head.

Which comfort measure should the nurse utilize in order to enable a laboring woman to relax?

  • A. Recommend frequent position changes.
  • B. Palpate her filling bladder every 15 minutes.
  • C. Offer warm wet cloths toN useR on Ithe GpatiBen.t'Cs faMce and neck. U S N T O
  • D. Keep the room lights lit so the patient and her coach can see everything.
Correct Answer: C

Rationale: The correct answer is C because offering warm wet cloths to place on the patient's face and neck can help promote relaxation by providing a soothing sensation. This measure can help to reduce stress and tension, creating a calming environment for the laboring woman.

A: Recommending frequent position changes can help with labor progress and comfort, but it may not specifically address relaxation.
B: Palpating the filling bladder every 15 minutes is important for monitoring urinary output, but it is not a direct comfort measure for relaxation.
D: Keeping the room lights lit may be necessary for visibility, but bright lights can be distracting and may hinder relaxation.

The nurse receives orders for pharmacologic pain relief. What does the nurse explain to the laboring person after administering fentanyl?

  • A. "I will need to monitor your oxygen saturation."
  • B. "It's important for me to insert a Foley catheter."
  • C. "I will need to monitor for vaginal bleeding."
  • D. "It's important for me to check your cervix after I administer this medication."
Correct Answer: A

Rationale: Rationale: After administering fentanyl, the nurse explains the need to monitor oxygen saturation due to the potential respiratory depression as a side effect of the medication. This is crucial for early detection and intervention. Monitoring for vaginal bleeding (C) is unrelated to fentanyl administration. Inserting a Foley catheter (B) and checking the cervix (D) are not necessary post-fentanyl administration. Oxygen saturation monitoring is the priority for patient safety.

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general

  • A. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)
  • B. Citric acid (Bicitr
  • C. Bromocriptine (Parlodel)
  • D. Ranitidine (Zanta
Correct Answer: B

Rationale: The correct answer is B: Citric acid (Bicitr). Citric acid helps decrease the acidity of gastric contents, reducing the risk of aspiration during general anesthesia. Citric acid works as an antacid and helps neutralize stomach acid, which can help prevent complications during surgery.

Incorrect choices:
A: This choice is incorrect because it does not address the prevention of aspiration of gastric contents.
C: Bromocriptine is a medication used to treat conditions like hyperprolactinemia and Parkinson's disease. It is not indicated for preventing aspiration during surgery.
D: Ranitidine is an H2 blocker used to reduce stomach acid production. While it can help with heartburn and acid reflux, it is not typically used to prevent aspiration during surgery.

If a woman's fundus is soft 30 minutes after birth, the nurse's first action should be to

  • A. massage the fundus.
  • B. take the blood pressure
  • C. increase blood supply to the hands and feet.
  • D. notify the physician or nurse-midwif
Correct Answer: A

Rationale: The correct answer is A: massage the fundus. After childbirth, a soft fundus indicates uterine atony, which can lead to postpartum hemorrhage. Massaging the fundus helps stimulate contractions and reduce bleeding, promoting uterine tone. This intervention is crucial in preventing complications. Taking blood pressure (B) is important but not the priority in this situation. Increasing blood supply to the hands and feet (C) is not relevant to addressing uterine atony. Notifying the physician or nurse-midwife (D) can be done after initiating immediate intervention to manage the soft fundus.

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