Nokea
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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What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
- A. Infant care
- B. Breastfeeding
- C. Gestational diabetes
- D. Sources of financial aid
- E. Yoga
Correct Answer: A,B,C
Rationale: Prenatal classes include such topics as infant care, breastfeeding, gestational diabetes, exercising, and sibling and grandparent preparation. Yoga and financial information are not traditional content for prenatal instruction.
A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?
- A. I'm having a contraction. Can I get the pudendal block now?'
- B. I'll get the pudendal block right before I deliver.'
- C. The nurse-midwife will insert the needles into my vagina.'
- D. It takes a few minutes after the medicine is administered to make me feel numb.'
Correct Answer: A
Rationale: The pudendal block does not block pain from contractions and is given just before birth.
How does the pain of childbirth differ from other types of pain? (Select all that apply.)
- A. Childbirth pain is part of a normal process.
- B. Childbirth pain seldom needs narcotic relief.
- C. Position changes relieve pain and facilitate delivery.
- D. Childbirth pain declines following birth.
- E. Childbirth pain is self-limited.
Correct Answer: A,C,D,E
Rationale: Childbirth pain differs from other types of pain, because it is part of a normal, natural, and expected process, can be relieved by change of position, declines immediately following birth, and is self-limiting. Childbirth pain requires pharmacological management with narcotics in many cases.
A woman in labor will receive general anesthesia prior to cesarean section. The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery. What will this prevent?
- A. Nausea and vomiting
- B. Vomiting and aspiration
- C. Abdominal cramping
- D. Intestinal obstruction
Correct Answer: B
Rationale: The major adverse effect of general anesthesia is aspiration of stomach contents.
The physician has ordered Fentanyl (Sublimaze) for a woman in labor and has asked the nurse to provide patient education. What will the nurse include in the educational plan? (Select all that apply.)
- A. Onset is slow.
- B. Duration is short.
- C. Administration is by mouth.
- D. No known side effects.
- E. It is not the same drug as sufentanil.
Correct Answer: B,E
Rationale: Fentanyl has a rapid onset and short duration of action. Fentanyl, sufentanil, and alfentanil are not the same drugs. Fentanyl can cause respiratory depression but less than meperidine. It is not administered by mouth.