Exam 18: Pain Management for Childbirth

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When providing labor support,the nurse knows that which fetal position might cause the laboring woman more back discomfort?

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D

When giving a narcotic to a laboring woman,the nurse should inject the medication at the beginning of a contraction so that

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B

The Joint Commission has recognized that pain management is an essential part of care in all health care settings.Since many women may desire an un-medicated birth,the pain management standards set by The Joint Commission do not apply in a labor setting.Is this statement true or false?

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False

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is called a(n)

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To provide optimal care to the intrapartum woman,the nurse understands that the least favorable maternal position for labor is

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In order to help patients manage discomfort and pain during labor,nurses should be aware that

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When instructing the woman in early labor,the nurse teaches her that an important aspect of proper breathing technique is

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Which patient is most likely to experience pain during labor?

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Which statement is true about the physiologic effects of pain in labor?

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A newborn infant weighing 8 lb (3632 g)needs naloxone (Narcan).This infant should receive approximately _____ mg.

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Many methods of nonpharmacologic pain control become less effective after prolonged use.This is a process called _________.

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Which woman will most likely have increased anxiety and tension during her labor?

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The use of hydrotherapy is an important nonpharmacologic modality to promote relaxation in labor.The nurse should offer the woman in labor a warm bath or shower (if no contraindications exist).The mild nipple stimulation that occurs in the water may intensify her contractions.Is this statement true or false?

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Childbirth preparation can be considered successful if the outcome is described as

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It is important for the nurse to develop a realistic birth plan with the pregnant woman.The nurse can explain that a major advantage of nonpharmacologic pain management is that

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The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.Fever with no apparent infection may occur in women who have epidural analgesia.The neonate's temperature may be elevated as well,possibly leading to unnecessary treatment for neonatal sepsis.Possible explanations for epidural associated fever without infection include (select all that apply)

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The method of anesthesia in labor considered the safest for the fetus is the

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A woman received 50 mcg of Fentanyl intravenously 1 hour before delivery.What drug should the nurse have readily available?

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The best time to teach nonpharmacologic pain control methods to an unprepared laboring woman is during which phase?

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The most important nursing intervention after the injection of epidural anesthesia is monitoring

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