Maternity Chapter 7
A laboring patient requests hot and cold applications be applied to her abdomen for pain
control. How will this intervention act to control pain? - ANS-By stimulation of large nerve
fibers
\A nurse instructs a woman's labor coach to comfort her by firmly pressing on her lower
back. What is this technique? - ANS-Sacral pressure
\A nurse is teaching a childbirth preparation class. The group is discussing individual
expressions of labor pain. What statement is accurate about a patient's expression of pain? -
ANS-It is influenced by culture
\A patient who received an epidural block asks why her blood pressure is taken so often.
What is the nurse's best response to explain the frequent blood pressure assessments? -
ANS-They ensure adequate placental perfusion
\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? - ANS-Bladder
distention
\A woman in labor will receive general anesthesia prior to cesarean section. The nurse
reminds the patient that food and fluids need to be restricted for several hours prior to
delivery. What will this prevent? - ANS-Vomiting and aspiration
\A woman in the transition phase of labor requests a narcotic analgesic medication for pain
relief. What should the nurse explain regarding giving a narcotic analgesic medication at this
stage of labor? - ANS-It may result in respiratory depression to the newborn
\A woman requests a pudendal block to manage her labor pain. What statement by the
woman indicates a need for further explanation about the pudendal block? - ANS-"I'm having
a contraction. Can I get the pudendal block now?
\A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman
to do during the contraction? - ANS-Blow in short breaths
\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? - ANS-Pain related to uterine contractions
\How does the pain of childbirth differ from other types of pain? Select all that apply.) -
ANS-Childbirth pain is part of a normal process Position changes relieve pain and facilitate
deliver
Childbirth pain declines following birth Childbirth pain is self-limited
\Several hours into labor, a woman complains of dizziness, numbness, and tingling of her
hands and mouth. What does the nurse recognize these svmptoms signify? -
ANS-Hyperventilation
\The _________ also called the psychoprophylactic method, is the basis of most childbirth
preparation classes in the United States - ANS-Lamaze method
\The amount of pain a person is willing to endure is referred to as - ANS-pain tolerance
\The massage technique that stimulates the large-diameter fibers in order to block impulses
from the small-diameter fibers is - ANS-effleurage
\The nurse coaches the primigravida not to bear down until the cervix is completely dilated.
What may premature bearing down cause? - ANS-Cervical laceration
A laboring patient requests hot and cold applications be applied to her abdomen for pain
control. How will this intervention act to control pain? - ANS-By stimulation of large nerve
fibers
\A nurse instructs a woman's labor coach to comfort her by firmly pressing on her lower
back. What is this technique? - ANS-Sacral pressure
\A nurse is teaching a childbirth preparation class. The group is discussing individual
expressions of labor pain. What statement is accurate about a patient's expression of pain? -
ANS-It is influenced by culture
\A patient who received an epidural block asks why her blood pressure is taken so often.
What is the nurse's best response to explain the frequent blood pressure assessments? -
ANS-They ensure adequate placental perfusion
\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? - ANS-Bladder
distention
\A woman in labor will receive general anesthesia prior to cesarean section. The nurse
reminds the patient that food and fluids need to be restricted for several hours prior to
delivery. What will this prevent? - ANS-Vomiting and aspiration
\A woman in the transition phase of labor requests a narcotic analgesic medication for pain
relief. What should the nurse explain regarding giving a narcotic analgesic medication at this
stage of labor? - ANS-It may result in respiratory depression to the newborn
\A woman requests a pudendal block to manage her labor pain. What statement by the
woman indicates a need for further explanation about the pudendal block? - ANS-"I'm having
a contraction. Can I get the pudendal block now?
\A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman
to do during the contraction? - ANS-Blow in short breaths
\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? - ANS-Pain related to uterine contractions
\How does the pain of childbirth differ from other types of pain? Select all that apply.) -
ANS-Childbirth pain is part of a normal process Position changes relieve pain and facilitate
deliver
Childbirth pain declines following birth Childbirth pain is self-limited
\Several hours into labor, a woman complains of dizziness, numbness, and tingling of her
hands and mouth. What does the nurse recognize these svmptoms signify? -
ANS-Hyperventilation
\The _________ also called the psychoprophylactic method, is the basis of most childbirth
preparation classes in the United States - ANS-Lamaze method
\The amount of pain a person is willing to endure is referred to as - ANS-pain tolerance
\The massage technique that stimulates the large-diameter fibers in order to block impulses
from the small-diameter fibers is - ANS-effleurage
\The nurse coaches the primigravida not to bear down until the cervix is completely dilated.
What may premature bearing down cause? - ANS-Cervical laceration
