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9 Cards in this Set
- Front
- Back
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A woman in active labor receives an opioid agonist analgesic. Which medication relieves severe, persistent, or recurrent pain, creates a sense of well-being, overcomes inhibitory factors, and may even relax the cervix but should be used cautiously in women with cardiac disease?
a) Meperidine (Demerol) b) Promethazine (phenergan) c) Butorphanol tartrate (Stadol) d) Nalbuphine (Nubain) |
Meperidine (Demerol)
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A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should:
a) Notify the woman's physician b) Tell the woman to slow the pace of her breathing c) Administer oxygen via mask or nasal canula d) Help her breathe into a paper bag |
Help her breathe into a paper bag
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A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure is to use:
a) Counterpressure against the sacrum b) Pant-blow (breaths and puffs) breathing techniques c) Effleurage d) Biofeedback |
Counterpressure against the sacrum
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Nurses should be aware of the difference experience can make in labor pain, such as:
a) Sensory pain for nulliparous women often is greater than for multiparous women during early labor b) Affective pain for nulliparous women usually is less than for multiparous women throughout the first stage of labor c) Women with a history of substance abuse experience more pain during labor d) Multiparous women have more fatigue from labor and therefore experience more pain |
Sensory pain for nulliparous women often is greater than for multiparous women during early labor
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With regard to breathing during labor, maternity nurses should be aware that:
a) Breathing techniques in the first stage of labor is designed to increase the size of the abdominal cavity to reduce friction b) By the time labor has begun, it is too late for instruction in breathing and relaxation c) Controlled breathing techniques are most difficult near the end of the second stage of labor d) The patterned-paced breathing technique can help prevent hyperventilation |
Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction
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With regard to what might be called the tactile approaches to comfort management, nurses should be aware that:
a) Either hot or cold applications may provide relief, but they should never be used together in the same treatment b) Acupuncture can be performed by a skilled nurse with just a little training c) Hand and foot massage may be especially relaxing in advanced labor when a womans tolerance for touch is limited d) Therapeutic touch uses handheld electronic stimulators that produce sympathetic vibrations |
Hand and foot massage may be especially relaxing in advanced labor when a womans tolerance for touch is limited
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With regard to systemic analgesics administered during labor, nurses should be aware that:
a) Systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier b) Effects on the fetus and newborn can include decreased alertness and delayed sucking c) IM administration is preferred over IV administration d) IV patient-controlled analgesia (PCA) results in increased use of an analgesic |
Effects on the fetus and newborn can include decreased alertness and delayed sucking
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With regard to spinal and epidural (block) anesthesia, nurses should know that:
a) This type of anesthesia is commonly used for cesarean births but it not suitable for vaginal births b) A high incidence of postbirth headache is seen with spinal blocks c) Epidural blocks allow the woman to move freely d) Spinal and epidural blocks are never used together |
A high incidence of postbirth headache is seen with spinal blocks
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After change of shift report the nurse assumes care of a multiparous client in labor. The woman is complaining of pain that radiates to her abdominal wall, lower back, buttocks, and down her thighs. Before implementing a plan of care, the nurse should understand that this type of pain is:
a) Visceral b) Referred c) Somatic d) Afterpain |
Referred
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