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NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4
NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4Pain Management During Childbirth
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- Maternity and Women's Health Care TodayThe Nurse's Role in Maternity and Women's Health CareEthical, Social, and Legal IssuesReproductive Anatomy and PhysiologyHereditary and Environmental Influences on ChildbearingConception and Prenatal DevelopmentPhysiologic Adaptations to PregnancyPsychosocial Adaptations to PregnancyNutrition for ChildbearingAntepartum Fetal AssessmentPerinatal EducationProcesses of BirthNursing Care During Labor and BirthIntrapartum Fetal SurveillancePain Management During ChildbirthNursing Care During Obstetric ProceduresPostpartum Physiologic AdaptationsPostpartum Psychosocial AdaptationsNormal Newborn: Processes of AdaptationAssessment of the Normal NewbornCare of the Normal NewbornInfant FeedingHome Care of the InfantThe Childbearing Family with Special NeedsComplications of PregnancyConcurrent Disorders During PregnancyIntrapartum ComplicationsPostpartum Maternal ComplicationsHigh-Risk Newborn: Complications Associated with Gestational Age and DevelopmentHigh-Risk Newborn: Acquired and Congenital ConditionsFamily PlanningInfertilityPreventive Care for WomenWomen's Health ProblemsInfertilityPreventive Care for WomenWomen's Health Problems
Question 1
Free
Multiple Choice
Childbirth preparation can be considered successful if the outcome is described as which of the following?
Choose correct answer/s
Labor was pain-free.
The birth experiences of friends and families were ignored.
Only nonpharmacologic methods for pain control were used.
The client rehearsed labor and practiced skills to master pain.
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Question 2
Free
Multiple Choice
A woman with a known heroin habit is admitted in early labor. Which drug is contraindicated with opiate-dependent patients?
Choose correct answer/s
Nalbuphine (Nubain)
Hydroxyzine (Vistaril)
Promethazine (Phenergan)
Diphenhydramine (Benadryl)
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Question 3
Free
Multiple Choice
A client 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 do procedures?
Choose correct answer/s
After the contraction is over
When it is all right with the coach
During increment of next contraction
After administration of analgesic-anesthetic
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Question 4
Free
Multiple Choice
Childbirth pain is different from other types of pain in that it is:
Choose correct answer/s
less intense.
associated with a physiologic process.
more responsive to pharmacologic management.
designed to make one withdraw from the stimulus.
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Question 5
Free
Multiple Choice
Excessive anxiety during labor heightens the client's sensitivity to pain by increasing:
Choose correct answer/s
muscle tension.
the pain threshold.
blood flow to the uterus.
rest time between contractions.
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Question 6
Multiple Choice
Which fetal position may cause the laboring client more back discomfort?
Choose correct answer/s
Left occiput anterior
Left occiput posterior
Right occiput anterior
Right occiput transverse
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Question 7
Multiple Choice
A major advantage of nonpharmacologic pain management is that:
Choose correct answer/s
a more rapid labor is likely.
more complete pain relief is possible.
the woman remains fully alert at all times.
there are no side effects or risks to the fetus.
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Question 8
Multiple Choice
The best time to teach nonpharmacologic pain control methods to an unprepared laboring client is during which stage?
Choose correct answer/s
Latent phase
Active phase
Second stage
Transition phase
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Question 9
Multiple Choice
The primary side effect of maternal narcotic analgesia in the newborn is:
Choose correct answer/s
tachypnea.
bradycardia.
acrocyanosis.
respiratory depression.
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Question 10
Multiple Choice
A client received 25 mg of meperidine (Demerol) intravenously 1 hour before birth. Which drug should the nurse have readily available?
Choose correct answer/s
Naloxone (Narcan)
Butorphanol (Stadol)
Nalbuphine (Nubain)
Promethazine (Phenergan)
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Question 11
Multiple Choice
The nerve block used in labor that provides anesthesia to the lower vagina and perineum is a(n):
Choose correct answer/s
local.
epidural.
pudendal.
spinal block.
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Question 12
Multiple Choice
A nurse is teaching a childbirth education class. Which information about excessive pain in labor should the nurse include in the session?
Choose correct answer/s
It usually results in a more rapid labor.
It has no effect on the outcome of labor.
It is considered to be a normal occurrence.
It may result in decreased placental perfusion.
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Question 13
Multiple Choice
Which client will most likely have increased anxiety and tension during labor?
Choose correct answer/s
Gravida 2 who refused any medication
Gravida 2 who delivered a stillborn baby last year
Gravida 1 who did not attend prepared childbirth classes
Gravida 3 who has two children younger than 3 years
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Question 14
Multiple Choice
Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?
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Narcotics
Spinal block
Epidural anesthesia
Breathing and relaxation techniques
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Question 15
Multiple Choice
A laboring client who imagines her body opening to let the baby out is using a mental technique called:
Choose correct answer/s
imagery.
effleurage.
distraction.
dissociation.
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Question 16
Multiple Choice
When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction?
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The medication will be rapidly circulated.
Less medication will be transferred to the fetus.
The maternal vital signs will not be adversely affected.
Full benefit of the medication is received during that contraction.
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Question 17
Multiple Choice
The method of anesthesia in labor that is considered the safest for the fetus is:
Choose correct answer/s
epidural block.
pudendal block.
local infiltration.
spinal (subarachnoid) block.
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Question 18
Multiple Choice
To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should:
Choose correct answer/s
give the woman oxygen.
turn the woman to the right side.
decrease the intravenous infusion rate.
place a wedge under the woman's right hip.
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Question 19
Multiple Choice
Which clinical effect can occur in the presence of increased maternal pain perception during labor?
Choose correct answer/s
Increase in uterine contractions in response to catecholamine secretion
Decrease in blood pressure in response to alpha receptors
Decreased perfusion to the placenta in response to catecholamine secretion
Increased uterine blood flow, causing increase in maternal blood pressure
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Question 20
Multiple Choice
Which of the following factors would affect pain perception or tolerance for the laboring client?
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Right occiput posterior fetal position during labor
Bishop score of 10 prior to the induction of labor
Gynecoid pelvis
Absence of Ferguson's reflex
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