Exam 17: Maximizing Comfort for the Laboring Woman

A first-time mother is concerned about the type of medications she will receive during labor.The client is in a fair amount of pain and is nauseated.In addition,she appears to be very anxious.The nurse explains that opioid analgesics are often used along with sedatives.How should the nurse phrase the rationale for this medication combination?

Conscious relaxation is associated with which method of childbirth preparation?

A woman has requested an epidural block for her pain.She is 5 cm dilated and 100% effaced.The baby is in a vertex position and is engaged.The nurse increases the woman's IV fluid for a preprocedural bolus.Before the initiation of the epidural,the woman should be informed regarding the disadvantages of an epidural block.Which concerns should the nurse share with this client? (Select all that apply).

What should the laboring client who receives an opioid antagonist be told to expect?

A client is experiencing back labor and complains of intense pain in her lower back.Which measure would best support this woman in labor?

Which statement correctly describes the effects of various pain factors?

According to professional standards (the Association of Women's Health,Obstetric and Neonatal Nurses [AWHONN],2007),which action cannot be performed by the nonanesthetist registered nurse who is caring for a woman with epidural anesthesia?

While developing an intrapartum care plan for the client in early labor,which psychosocial factors would the nurse recognize upon the client's pain experience? (Select all that apply).

A woman who is pregnant for the first time is dilated 3 cm and having contractions every 5 minutes.She is groaning and perspiring excessively; she states that she did not attend childbirth classes.What is the optimal intervention for the nurse to provide at this time?

Anxiety is commonly associated with pain during labor.Which statement regarding anxiety is correct?

An 18-year-old pregnant woman,gravida 1,para 0,is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds.The client states,"My contractions are so strong,I don't know what to do." Before making a plan of care,what should the nurse's first action be?

What is the correct terminology for the nerve block that provides anesthesia to the lower vagina and perineum?

A woman in labor has just received an epidural block.What is the most important nursing intervention at this time?

Maternal hypotension is a potential side effect of regional anesthesia and analgesia.What nursing interventions could the nurse use to increase the client's blood pressure? (Select all that apply).

What is the role of the nurse as it applies to informed consent?

The nurse should be cognizant of which physiologic effect of pain?

What is the rationale for the use of a blood patch after spinal anesthesia?

Which alternative approaches to relaxation have proven successful when working with the client in labor? (Select all that apply).

A client is in early labor,and her nurse is discussing the pain relief options she is considering.The client states that she wants an epidural "no matter what!" What is the nurse's best response?

Developing a realistic birth plan with the pregnant woman regarding her care is important for the nurse.How would the nurse explain the major advantage of nonpharmacologic pain management?