Question 1

One of the greatest risks to the mother during administration of general anesthesia is

Accepted Answer

A)  Respiratory depression 
B)  Uterine relaxation 
C)  Inadequate muscle relaxation 
D)  Aspiration of stomach contents 
A)  Respiratory depression 
B)  Uterine relaxation 
C)  Inadequate muscle relaxation 
D)  Aspiration of stomach contents

Question 2

Which technique could the support person use when the laboring woman appears to be losing control?

Accepted Answer

A)  Have the nurse take over the role of support. 
B)  Tell the woman that she is causing stress to her baby and herself. 
C)  Wait for the contraction to end and discuss the problem with her. 
D)  Make eye contact with the woman and breathe along with her. 
A)  Have the nurse take over the role of support. 
B)  Tell the woman that she is causing stress to her baby and herself. 
C)  Wait for the contraction to end and discuss the problem with her. 
D)  Make eye contact with the woman and breathe along with her.

Question 3

Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?

Accepted Answer

A)  Epidural anesthesia 
B)  Narcotics 
C)  Spinal block 
D)  Breathing and relaxation techniques 
A)  Epidural anesthesia 
B)  Narcotics 
C)  Spinal block 
D)  Breathing and relaxation techniques

Question 4

While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include (select all that apply)

Accepted Answer

A)  Culture 
B)  Anxiety and fear 
C)  Previous experiences with pain 
D)  Intervention of caregivers 
E)  Support systems 
A)  Culture 
B)  Anxiety and fear 
C)  Previous experiences with pain 
D)  Intervention of caregivers 
E)  Support systems

Question 5

The laboring woman who imagines her body opening to let the baby out is using a mental technique called

Accepted Answer

A)  Dissociation 
B)  Effleurage 
C)  Imagery 
D)  Distraction 
A)  Dissociation 
B)  Effleurage 
C)  Imagery 
D)  Distraction

Question 6

The nurse caring for women in labor understands that childbirth pain is different from other types of pain in that it is

Accepted Answer

A)  More responsive to pharmacologic management 
B)  Associated with a physiologic process 
C)  Designed to make one withdraw from the stimulus 
D)  Less intense 
A)  More responsive to pharmacologic management 
B)  Associated with a physiologic process 
C)  Designed to make one withdraw from the stimulus 
D)  Less intense

Question 7

The most important nursing intervention for the patient who has received an epidural narcotic is

Accepted Answer

A)  Monitoring respiratory rate hourly 
B)  Administering analgesics as needed 
C)  Monitoring blood pressure every 4 hours 
D)  Assessing the level of anesthesia 
A)  Monitoring respiratory rate hourly 
B)  Administering analgesics as needed 
C)  Monitoring blood pressure every 4 hours 
D)  Assessing the level of anesthesia

Question 8

Excessive anxiety in labor heightens the woman's sensitivity to pain by increasing

Accepted Answer

A)  Muscle tension 
B)  Blood flow to the uterus 
C)  The pain threshold 
D)  Rest time between contractions 
A)  Muscle tension 
B)  Blood flow to the uterus 
C)  The pain threshold 
D)  Rest time between contractions

Question 9

Which type of cutaneous stimulation involves massage of the abdomen?

Accepted Answer

A)  Thermal stimulation 
B)  Imagery 
C)  Mental stimulation 
D)  Effleurage 
A)  Thermal stimulation 
B)  Imagery 
C)  Mental stimulation 
D)  Effleurage

Question 10

The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is

Accepted Answer

A)  Respiratory depression 
B)  Bradycardia 
C)  Acrocyanosis 
D)  Tachypnea 
A)  Respiratory depression 
B)  Bradycardia 
C)  Acrocyanosis 
D)  Tachypnea

Question 11

Today the pregnant woman has a number of non-pharmacologic measures available to her to assist with pain relief in labor.One such measure involves the application of heat,cold,or pressure to specific areas of the body and is known as _________.

Accepted Answer

acupressure
The effectiveness of acupres

Question 12

Which intervention may be most helpful for the patient experiencing most of her labor pain in her back?

Accepted Answer

A)  Lying supine with head slightly elevated 
B)  Having the support person apply firm pressure to the sacrum 
C)  Sitting upright with the legs straight 
D)  Having the nurse massage the upper back during a contraction 
A)  Lying supine with head slightly elevated 
B)  Having the support person apply firm pressure to the sacrum 
C)  Sitting upright with the legs straight 
D)  Having the nurse massage the upper back during a contraction

Question 13

To improve placental blood flow immediately after the injection of an epidural anesthetic,the nurse should

Accepted Answer

A)  Turn the woman to the right side. 
B)  Place a wedge under the woman's right hip. 
C)  Give the woman oxygen. 
D)  Decrease the intravenous infusion rate. 
A)  Turn the woman to the right side. 
B)  Place a wedge under the woman's right hip. 
C)  Give the woman oxygen. 
D)  Decrease the intravenous infusion rate.

Question 14

To assist the woman after delivery of the infant,the nurse knows that the blood patch is used after spinal anesthesia to relieve

Accepted Answer

A)  Hypotension 
B)  Headache 
C)  Neonatal respiratory depression 
D)  Loss of movement 
A)  Hypotension 
B)  Headache 
C)  Neonatal respiratory depression 
D)  Loss of movement

Question 15

What is the first type of breathing technique used in labor?

Accepted Answer

A)  Slow-paced 
B)  Modified-paced 
C)  Patterned-paced 
D)  Pant-blow 
A)  Slow-paced 
B)  Modified-paced 
C)  Patterned-paced 
D)  Pant-blow

Exam 18: Pain Management for Childbirth

One of the greatest risks to the mother during administration of general anesthesia is

Which technique could the support person use when the laboring woman appears to be losing control?

Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?

While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include (select all that apply)

The laboring woman who imagines her body opening to let the baby out is using a mental technique called

The nurse caring for women in labor understands that childbirth pain is different from other types of pain in that it is

The most important nursing intervention for the patient who has received an epidural narcotic is

Excessive anxiety in labor heightens the woman's sensitivity to pain by increasing

Which type of cutaneous stimulation involves massage of the abdomen?

The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is

Today the pregnant woman has a number of non-pharmacologic measures available to her to assist with pain relief in labor.One such measure involves the application of heat,cold,or pressure to specific areas of the body and is known as _________.

Which intervention may be most helpful for the patient experiencing most of her labor pain in her back?

To improve placental blood flow immediately after the injection of an epidural anesthetic,the nurse should

To assist the woman after delivery of the infant,the nurse knows that the blood patch is used after spinal anesthesia to relieve

What is the first type of breathing technique used in labor?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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