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

While developing an intrapartum care plan for the patient in early labor, it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain. These include which of the following? (Select all that apply.)

  • A. Culture
  • B. Anxiety and fear
  • C. Support systems
  • D. Preparation for childbirth
Correct Answer: A

Rationale: Rationale: Culture can significantly impact a woman's perception and experience of pain during labor due to cultural beliefs, practices, and attitudes towards childbirth. Cultural norms and values can influence pain management preferences, coping mechanisms, and communication styles. Understanding the patient's cultural background is crucial for providing culturally competent care and addressing her psychosocial needs.

Summary of other choices:
B: Anxiety and fear - While anxiety and fear can influence a woman's pain experience, they are not specific to psychosocial factors related to culture.
C: Support systems - Support systems can affect a woman's labor experience, but they do not specifically relate to the influence of psychosocial factors such as culture.
D: Preparation for childbirth - Although preparation for childbirth can impact pain perception, it is not directly related to the influence of psychosocial factors like culture.

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The nurse is providing care to a patient in the active phase of the first stage of labor. The patient is crying out loudly with each contraction. What is the nurse's most respectful approach for this patient?

  • A. Ask the patient's labor coach if this is a usual expression of pain for her.
  • B. Refer to the patient's chart to determine any orders for pain medication.
  • C. Tell the patient that she is disturbing the other laboring patients on the unit.
  • D. Encourage the patient to try to suppress her noisiness during contractions.
Correct Answer: A

Rationale: Step-by-step rationale for why Answer A is correct:
1. Asking the patient's labor coach shows respect for the patient's support person and acknowledges their insight into the patient's usual behavior.
2. It allows the nurse to gather information about the patient's pain expression without assuming or judging the situation.
3. This approach promotes patient-centered care and involves the patient's primary support system in decision-making.
4. It fosters open communication and partnership between the nurse, patient, and labor coach, enhancing the overall quality of care.

Summary:
- Option B is incorrect because pain medication should not be assumed without assessing the patient's current pain level first.
- Option C is incorrect as it lacks empathy and disregards the patient's emotional state during labor.
- Option D is incorrect as it suggests suppressing a natural response to pain, which may not be beneficial for the patient's coping mechanism.

Which nursing assessment indicates that a patient who is in the second stage of labor is almost ready to give birth?

  • A. Bloody mucous discharge increases.
  • B. The vulva bulges and encircles the fetal hea
  • C. The fetal head is felt at 0 station during the vaginal examination.
  • D. The membranes rupture during a contraction.
Correct Answer: B

Rationale: The correct answer is B because the vulva bulging and encircling the fetal head is a sign that the baby is descending through the birth canal, indicating the patient is almost ready to give birth. This is known as crowning.
A: Bloody mucous discharge increasing is a sign of early labor, not necessarily indicating imminent birth.
C: Feeling the fetal head at 0 station means the baby is engaged in the pelvis, but it does not indicate the exact timing of birth.
D: Membranes rupturing during a contraction can happen at any stage of labor and do not necessarily signify imminent birth.

The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?

  • A. Expulsion
  • B. Restitution
  • C. Internal rotation
  • D. External rotation
Correct Answer: A

Rationale: After the baby's head is born, the immediate next step is the expulsion of the baby's body. This is because the expulsion maneuver refers to the delivery of the rest of the baby's body following the birth of the head. Restitution, internal rotation, and external rotation occur before the birth of the baby's head and are part of the cardinal movements of labor and birth. Restitution involves the realignment of the baby's head with their body after the head is born. Internal rotation refers to the baby's head turning to navigate through the birth canal. External rotation involves the baby's head turning back to its original position after delivery. So, the correct answer is A (Expulsion), as it directly follows the birth of the baby's head.

A patient is admitted to the labor and birth room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. When is the best time to ask questions or perform procedures?

  • A. After the contraction is over
  • B. When it is all right with the coach
  • C. During the increment of the next contraction
  • D. After administration of analgesic-anesthetic
Correct Answer: C

Rationale: The correct answer is C: During the increment of the next contraction. This is the best time for assessment as the patient is likely to be more focused and cooperative during this phase. Asking questions or performing procedures during the contraction or immediately after may be distracting or uncomfortable for the patient. Waiting until the contraction is over (choice A) may delay necessary assessment. Waiting for the coach's approval (choice B) may not always align with the patient's needs. Waiting until after administration of analgesic-anesthetic (choice D) may not be timely for necessary assessment and may also impact the patient's ability to provide accurate information.

What drug is an anxiolytic that relieves apprehension and creates a feeling of calm?

  • A. hydroxyzine
  • B. fentanyl
  • C. codeine
  • D. morphine
Correct Answer: A

Rationale: The correct answer is A: hydroxyzine. Hydroxyzine is an anxiolytic medication that acts on the central nervous system to relieve apprehension and induce a calming effect. It is commonly used to treat anxiety and tension. Fentanyl, codeine, and morphine are opioid medications primarily used for pain relief and do not have anxiolytic properties. Therefore, hydroxyzine is the correct choice for a drug that specifically targets anxiety and promotes a feeling of calm.

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