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What is the Dick-Read method of childbirth preparation based on?
- A. Mild sedation throughout labor
- B. Relaxation techniques
- C. Skin stimulation
- D. Deep massage
Correct Answer: B
Rationale: The Dick-Read method depends on the use of relaxation techniques to reduce the discomforts of labor.
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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.
When caring for the laboring patient, the nurse determines that the fetus is located in the right occiput posterior (ROA). What will the nurse anticipate?
- A. Urinary retention
- B. Severe lower back pain
- C. A shorter labor process
- D. Nausea
Correct Answer: B
Rationale: If the fetal occiput is in a posterior pelvic quadrant, each contraction pushes it against the mother's sacrum, resulting in persistent and poorly relieved back pain (back labor). Labor is often longer with this fetal position.
What would the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
- A. It can cause medication given at later stages to be ineffective.
- B. It will have no complications for the mother or infant.
- C. It may result in respiratory depression to the newborn.
- D. It will speed up labor and increase pain.
Correct Answer: C
Rationale: The risk of narcotic analgesics is that they cross the placenta and can cause fetal respiratory depression.
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 who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction?
- A. Use slow-paced breathing.
- B. Hold her breath and push.
- C. Blow in short breaths.
- D. Use rapid-paced breathing.
Correct Answer: C
Rationale: If a laboring woman feels the urge to push before the cervix is fully dilated, then she is taught to blow in short breaths to avoid bearing down.