Nokea
The nurse who encourages the gate control theory of pain control would advise a woman in labor and her partner to use which nonpharmacological method of pain management?
- A. Slow abdominal breathing
- B. Guided relaxation
- C. Listening to music
- D. Massage
Correct Answer: D
Rationale: According to the gate control theory, stimulating large-diameter nerve fibers temporarily interferes with conduction of impulses through small-diameter fibers. Massage is a technique that stimulates large-diameter fibers and 'closes the gate.'
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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.
A woman in labor has had an epidural block for pain relief. The nurse will be assessing carefully for what associated side effect of this type of regional anesthesia?
- A. Reduced fetal heart rate
- B. Long, intense contractions
- C. Sudden leg cramps
- D. Bladder distention
Correct Answer: D
Rationale: A side effect of an epidural block is urine retention, because the anesthesia interferes with the woman's ability to have an urge to void. The patient may have to be catheterized.
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting, 'Please give me something for the pain. I can't take the pain!' What is the priority nursing diagnosis?
- A. Pain related to uterine contractions
- B. Knowledge deficit related to the birth experience
- C. Ineffective coping related to inadequate preparation for labor
- D. Risk for injury related to lack of prenatal care
Correct Answer: A
Rationale: The most important issue for this woman, at this time, is effective pain management.
Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?
- A. Hypertension
- B. Anxiety
- C. Anoxia
- D. Hyperventilation
Correct Answer: D
Rationale: Hyperventilation is sometimes a problem if a woman is breathing rapidly.
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient's expression of pain?
- A. It reduces the patient's perception of pain.
- B. It is intensified by the vertex position of the fetus.
- C. It is influenced by culture.
- D. It can be completely controlled by nonpharmacological techniques.
Correct Answer: C
Rationale: Culture influences how women feel about birth and what is an acceptable response to pain.