The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
- A. Frequently asking for ice chips
- B. Facial grimacing
- C. Changing positions in bed
- D. Covering her face with her hands
Correct Answer: B
Rationale: Facial grimacing may be an indicator of unexpressed pain.
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What chemical substance(s) produced in the body acts as a natural pain reliever?
- A. Endorphins
- B. Morphine
- C. Codeine
- D. Atropine
Correct Answer: A
Rationale: Endorphins are natural body substances that are similar to morphine and may explain why laboring women need smaller doses of analgesia.
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 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.
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.
The nurse is providing a conference on nonpharmacological pain control methods. What major advantages of nonpharmacological pain control methods will the nurse include in the presentation? (Select all that apply.)
- A. They sedate the mother.
- B. They do not slow labor.
- C. They do not dull the excitement of the birth experience.
- D. They do not have the potential to cause allergic reactions.
- E. They do not have to be delayed until labor is well established.
Correct Answer: B,C,D,E
Rationale: All the options mentioned are benefits of nonpharmacological pain control methods with the exception of sedating the mother.
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