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 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

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After insertion of the epidural catheter, what is the nurse's responsibility regarding patient care?

  • A. monitoring vital signs every 5 to 15 minutes
  • B. intermittent FHR monitoring
  • C. providing the laboring person a meal
  • D. instructing the laboring person to get out of bed to use the restroom
Correct Answer: A

Rationale: The correct answer is A: monitoring vital signs every 5 to 15 minutes. After inserting the epidural catheter, continuous monitoring of vital signs is crucial to detect any potential complications like hypotension or respiratory depression promptly. Vital signs include blood pressure, heart rate, respiratory rate, and oxygen saturation. Intermittent FHR monitoring (B) may be necessary but is not the primary responsibility after epidural insertion. Providing a meal (C) is contraindicated due to the risk of aspiration. Instructing the laboring person to get out of bed to use the restroom (D) is not recommended as they may be at risk of falls due to decreased sensation and muscle weakness from the epidural.

Which fetal position increases the likelihood of a longer and more painful labor?

  • A. Left occiput posterior
  • B. Left occiput anterior
  • C. Right occiput anterior
  • D. Right occiput transverse
Correct Answer: A

Rationale: The correct answer is A: Left occiput posterior. In this position, the baby's head is facing the mother's sacrum, making labor longer and more painful due to the baby's position causing more pressure on the mother's back and pelvis. Left occiput anterior (B) and Right occiput anterior (C) are favorable positions for a smoother labor. Right occiput transverse (D) can also lead to a longer and more complicated labor, but not as much as Left occiput posterior.

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.

Which patient will most likely have increased anxiety and tension during labor?

  • A. Gravida 2 who refused any medication
  • B. Gravida 2 who delivered a stillborn baby last year
  • C. Gravida 1 who did not attend prepared childbirth classes
  • D. Gravida 3 who has two children younger than 3 years
Correct Answer: B

Rationale: The correct answer is B. A patient who delivered a stillborn baby last year is more likely to experience increased anxiety and tension during labor due to previous traumatic experience. This can trigger fear and worry about the current pregnancy outcome, leading to heightened emotional distress.

Incorrect Choices:
A: Refusing medication does not necessarily correlate with increased anxiety during labor.
C: Not attending childbirth classes may result in lack of knowledge but does not directly relate to increased anxiety during labor.
D: Having two children younger than 3 years may cause stress but does not specifically indicate increased anxiety during labor.

The nurse auscultates the fetal heart rate and determines a rate of 152 bpm. Which nursing intervention is most appropriate at this time?

  • A. Inform the mother that the fetal heart rate is normal.
  • B. Reassess the fetal heart rate in 5 minutes because the rate is too high.
  • C. Report the fetal heart rate to the physician or nurse-midwife immediately.
  • D. Suggest to the mother that she is going to have a boy because the heart rate is fast.
Correct Answer: C

Rationale: The correct answer is C: Report the fetal heart rate to the physician or nurse-midwife immediately. A fetal heart rate of 152 bpm is within the normal range for a fetus, but it is essential to communicate any findings to the healthcare provider for further assessment and monitoring. This step ensures the safety and well-being of both the mother and the fetus by allowing the healthcare provider to determine if any additional actions are necessary.

Incorrect choices:
A: Inform the mother that the fetal heart rate is normal - While the heart rate may be normal, it is crucial to involve the healthcare provider for proper evaluation.
B: Reassess the fetal heart rate in 5 minutes because the rate is too high - 152 bpm is not considered too high, and immediate reporting to the healthcare provider is necessary.
D: Suggest to the mother that she is going to have a boy because the heart rate is fast - Fetal heart rate is not a reliable indicator of the baby's gender, and this

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