Exam 18: Pain Management During Labour

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Which interventions are appropriate when caring for a woman with maternal hypotension who has a spinal anaesthesia? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,C

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B,D,F

Nurses with an understanding of cultural differences regarding likely reactions to pain are better able to help patients.Women from which ethnic group would be most likely to be stoic in response to labour pain?

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C

What should nurses be aware of with regard to nerve block analgesia and anaesthesia?

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A

A woman in active labour receives an analgesic,an opioid agonist.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?

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Which statement correctly describes the effects of various pain factors?

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A woman is experiencing intense labour pain in her lower back.Which would be an effective relief measure for this woman?

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After a change-of-shift report the nurse assumes care of a multiparous patient in labour.The woman is complaining of pain that radiates to her abdominal wall,lower back,and buttocks and down her thighs.Which type of pain is the woman experiencing?

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An 18-year-old pregnant woman,gravida 1,is admitted to the labour and birth unit with moderate contractions every 5 minutes that last 40 seconds.The woman states,"My contractions are so strong that I don't know what to do." What should the nurse do?

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Which is a women who receives an epidural during labour at increased risk of experiencing?

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Which should the nurse be aware of when helping patients manage discomfort and pain during labour?

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What should nurses be aware of with regard to systemic analgesics administered during labour?

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What should the labouring woman be taught if she is receiving an opioid antagonist?

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A woman in labour is breathing into a mouthpiece just before the start of her regular contractions.As she inhales,a valve opens,and gas is released.She continues to inhale the gas slowly and deeply until the contraction starts to subside.When the inhalation stops,the valve closes.Which statement is accurate in relation to this scenario?

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A woman in labour has just received an epidural block.What is the most important nursing intervention?

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A labouring woman received fentanyl citrate (Sublimaze)intravenously 90 minutes before she gave birth.Which medication should be available to reduce the postnatal effects of Sublimaze on the neonate?

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What should the nurse be cognizant of with regard to spinal and epidural anaesthesia?

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Where is the emphasis placed in the current practice of childbirth preparation?

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Which should maternity nurses be aware of when answering questions about the many ways people have tried to make the birthing experience more comfortable?

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Nurses should be aware of which difference that experience can make in relation to labour pain?

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The nurse should be aware that a plan to achieve adequate pain relief without maternal risk is most effective if which occurs?

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