Nokea
The laboring person wants to use open glottis breathing for pushing. How can the nurse support the person?
- A. Encourage the person to breathe however is most comfortable.
- B. Tell the person they should hold their breath for 10 counts.
- C. Explain that open glottis pushing is not effective.
- D. Discuss that the health-care provider would not allow them to use that breathing.
Correct Answer: A
Rationale: The correct answer is A because open glottis breathing is a common technique during the pushing stage of labor as it helps prevent breath-holding and excessive pressure buildup. By encouraging the person to breathe however is most comfortable, the nurse supports their autonomy and allows them to effectively engage in open glottis breathing.
Choice B is incorrect because holding the breath for counts can lead to increased intra-abdominal pressure and is not recommended during pushing. Choice C is incorrect as open glottis breathing is an effective technique for pushing. Choice D is incorrect as healthcare providers typically support the individual's chosen breathing techniques during labor.
You may also like to solve these questions
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.
A patient in active labor requests an epidural for pain management. What is the nurse's most appropriate intervention at this juncture?
- A. Assess the fetal heart rate pattern over the next 30 minutes.
- B. Take the patient's blood pressure every 5 minutes for 15 minutes.
- C. Determine the patient's contraction pattern for the next 30 minutes.
- D. Initiate an IV infusion of lactated Ringer's solution at 2000 mL/hour over 30 minutes.
Correct Answer: C
Rationale: The correct answer is C: Determine the patient's contraction pattern for the next 30 minutes. This is the most appropriate intervention as understanding the patient's contraction pattern is crucial in determining the stage of labor and the need for interventions like epidural. Assessing fetal heart rate (A) is important but not the immediate priority. Taking blood pressure (B) every 5 minutes is excessive and not directly related to the request for an epidural. Initiating an IV infusion of lactated Ringer's solution (D) is unnecessary and not indicated for pain management in labor. In summary, choice C is correct as it directly addresses the patient's current condition and guides further pain management decisions.
Which intervention is an essential part of nursing care for a laboring patient?
- A. Helping the woman manage the pain
- B. Eliminating the pain associated with labor
- C. Feeling comfortable with the predictable nature of intrapartal care
- D. Sharing personal experiences regarding labor and birth to decrease her anxiety
Correct Answer: A
Rationale: The correct answer is A because helping the woman manage the pain is essential in nursing care for a laboring patient to ensure her comfort and well-being during labor. This intervention includes providing pain relief measures, such as positioning, massage, breathing techniques, and administering pain medication if needed. The focus is on supporting the woman's coping mechanisms and enhancing her overall birthing experience.
Choice B is incorrect because eliminating pain completely is not always possible or recommended in labor, as some pain is a natural part of the process. Choice C is incorrect as comfort with the predictable nature of care is not as crucial as providing active pain management. Choice D is incorrect because sharing personal experiences may not be relevant or helpful to the laboring patient and may not address her specific needs during labor.
The nurse notes that a patient who has given birth 1 hour ago is touching her infant with her fingertips and talking to him softly in high-pitched tones. Based on this observation, which action should the nurse take?
- A. Request a social service consult for psychosocial support.
- B. Observe for other signs that the mother may not be accepting of the infant.
- C. Document this evidence of normal early maternal-infant attachment behavior.
- D. Determine whether the mother is too fatigued to interact normally with her infant.
Correct Answer: C
Rationale: The correct answer is C: Document this evidence of normal early maternal-infant attachment behavior. This is the correct action because the mother's behavior of touching her infant with her fingertips and talking to him softly in high-pitched tones is indicative of normal maternal-infant attachment. This behavior shows that the mother is engaging with her infant in a positive and nurturing way, which is crucial for bonding and attachment. It is important for the nurse to document this behavior as it reflects a healthy interaction between the mother and her newborn.
Other choices are incorrect:
A: Request a social service consult for psychosocial support - This choice is not necessary as the mother's behavior indicates normal attachment and does not suggest a need for psychosocial support at this time.
B: Observe for other signs that the mother may not be accepting of the infant - This choice is unnecessary as the mother's current behavior demonstrates acceptance and attachment towards her infant.
D: Determine whether the mother is too fatigued to interact normally
What would the nurse administer if the newborn has decreased or no respiratory effort at delivery after the person received an opiate?
- A. naloxone (Narcan)
- B. acetaminophen (Tylenol)
- C. oxygen
- D. sodium bicarbonate
Correct Answer: A
Rationale: The correct answer is A: naloxone (Narcan). If a newborn has decreased or no respiratory effort after the mother received an opiate, it indicates potential opiate toxicity in the newborn. Naloxone is an opioid antagonist that can reverse the effects of opiates, including respiratory depression. Administering naloxone can help stimulate the newborn's respiratory effort, promoting adequate oxygenation.
Summary:
- A: Naloxone is the correct answer as it reverses opiate effects.
- B: Acetaminophen is a pain reliever and does not address respiratory depression.
- C: Oxygen may help with oxygenation but does not address the underlying opiate toxicity.
- D: Sodium bicarbonate is used to treat acid-base imbalances and does not address opiate toxicity or respiratory depression.