Exam 7: Nursing Management of Pain During Labor and Birth

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What is the Dick-Read method of childbirth preparation based on?

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B

Which are nonpharmacological forms of pain relief?

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A,B,C

What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?

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The nurse is caring for a laboring patient who is not reporting pain.What sign would alert the nurse of the need for pain relief?

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The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery.What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia?

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When a pregnant woman arrives at the labor suite,she tells the nurse that she wants to have an epidural for delivery.What is a contraindication to an epidural block?

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A woman in labor will receive general anesthesia prior to cesarean section.The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery.What will this prevent?

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The nurse is providing a conference on nonpharmacological pain control methods.What major advantages of nonpharmacological pain control methods will the nurse include in the presentation?

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What is the most appropriate nursing action to take when a laboring woman hyperventilates?

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The physician has ordered Fentanyl (Sublimaze)for a woman in labor and has asked the nurse to provide patient education.What will the nurse include in the educational plan?

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A laboring patient requests hot and cold applications be applied to her abdomen for pain control.How will this intervention act to control pain?

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The nurse coaches the primigravida not to bear down until the cervix is completely dilated.What may premature bearing down cause?

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A nurse is teaching a childbirth preparation class.The group is discussing individual expression of labor pain.What statement is accurate about a patient's expression of pain?

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The nurse is instructing a Lamaze class on abdominal breathing and tells a patient that her baseline respiratory rate is 22 breaths per minute.What should be the patient's rate while performing slow breathing?

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Several hours into labor,a woman complains of dizziness,numbness,and tingling of her hands and mouth.What does the nurse recognize these symptoms signify?

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The amount of pain a person is willing to endure is referred to as ______________ ______________.

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What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?

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An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart.She received little prenatal care and had no childbirth preparation.She is crying loudly and shouting,"Please give me something for the pain.I can't take the pain!" What is the priority nursing diagnosis?

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What is the least amount of sensation that one perceives as pain?

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Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?

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