Question 1

Nursing care measures are commonly offered to women in labour.Which nursing measure reflects application of the gate-control theory?

Accepted Answer

A)  Massaging the woman's back 
B)  Changing the woman's position 
C)  Giving the prescribed medication 
D)  Encouraging the woman to rest between contractions 
A)  Massaging the woman's back 
B)  Changing the woman's position 
C)  Giving the prescribed medication 
D)  Encouraging the woman to rest between contractions

Question 2

Maternal hypotension is a potential adverse effect of regional anaesthesia and analgesia.Which nursing intervention would the nurse use to raise the patient's blood pressure?

Accepted Answer

A)  Place the woman in a supine position. 
B)  Perform a vaginal examination. 
C)  Increase intravenous (IV)fluids. 
D)  Implement continuous electronic fetal heart monitoring. 
A)  Place the woman in a supine position. 
B)  Perform a vaginal examination. 
C)  Increase intravenous (IV)fluids. 
D)  Implement continuous electronic fetal heart monitoring.

Question 3

What should the nurse be aware of with regard to a pregnant woman's anxiety and pain experience?

Accepted Answer

A)  Even mild anxiety must be acknowledged and treated. 
B)  Excessive anxiety increases tension,which increases pain and fear. 
C)  Anxiety increases the perception of pain,but it does not affect the mechanism of labour. 
D)  Women who have had a painful labour will have less anxiety the second time because of increased familiarity. 
A)  Even mild anxiety must be acknowledged and treated. 
B)  Excessive anxiety increases tension,which increases pain and fear. 
C)  Anxiety increases the perception of pain,but it does not affect the mechanism of labour. 
D)  Women who have had a painful labour will have less anxiety the second time because of increased familiarity.

Question 4

Which reflects the role of the nurse with regard to informed consent?

Accepted Answer

A)  Inform the patient about the procedure and have her sign the consent form. 
B)  Act as a patient advocate and provide clarification. 
C)  Call the physician to see the patient. 
D)  Witness the signing of the consent form. 
A)  Inform the patient about the procedure and have her sign the consent form. 
B)  Act as a patient advocate and provide clarification. 
C)  Call the physician to see the patient. 
D)  Witness the signing of the consent form.

Question 5

A first-time mother is concerned about the type of medications she will receive during labour.She is in a fair amount of pain and is nauseous.In addition,she appears to be very anxious.You explain that opioid analgesics often are used with sedatives for which reason?

Accepted Answer

A)  The two together work best for the mother and baby. 
B)  Sedatives help the opioid work better and will help relax the mother and relieve nausea. 
C)  The two work better together so the woman can sleep until the baby is born. 
D)  These medication are what the doctor has ordered. 
A)  The two together work best for the mother and baby. 
B)  Sedatives help the opioid work better and will help relax the mother and relieve nausea. 
C)  The two work better together so the woman can sleep until the baby is born. 
D)  These medication are what the doctor has ordered.

Question 6

A woman in the active phase of the first stage of labour 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.What should the nurse do?

Accepted Answer

A)  Notify the woman's physician. 
B)  Tell the woman to slow the pace of her breathing. 
C)  Administer oxygen via a mask or nasal cannula. 
D)  Help her breathe into a paper bag. 
A)  Notify the woman's physician. 
B)  Tell the woman to slow the pace of her breathing. 
C)  Administer oxygen via a mask or nasal cannula. 
D)  Help her breathe into a paper bag.

Question 7

When is effleurage most effective?

Accepted Answer

A)  First stage of labour 
B)  Transition phase of labour 
C)  Second stage of labour 
D)  Placental delivery 
A)  First stage of labour 
B)  Transition phase of labour 
C)  Second stage of labour 
D)  Placental delivery

Exam 18: Pain Management During Labour

Nursing care measures are commonly offered to women in labour.Which nursing measure reflects application of the gate-control theory?

Maternal hypotension is a potential adverse effect of regional anaesthesia and analgesia.Which nursing intervention would the nurse use to raise the patient's blood pressure?

What should the nurse be aware of with regard to a pregnant woman's anxiety and pain experience?

Which reflects the role of the nurse with regard to informed consent?

A first-time mother is concerned about the type of medications she will receive during labour.She is in a fair amount of pain and is nauseous.In addition,she appears to be very anxious.You explain that opioid analgesics often are used with sedatives for which reason?

A woman in the active phase of the first stage of labour 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.What should the nurse do?

When is effleurage most effective?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters