Exam 13: Promoting Patient Comfort During Labor and Birth

The OB clinic nurse is giving a pregnant woman information on different types of anesthesia and pain control for use during labor.What information does the nurse provide about spinal anesthesia block?

The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort?

The perinatal nurse assesses a patient who is immersed in a water-filled tub during active labor.The assessments that indicate the hydrotherapy has been effective include which of the following?

A pregnant woman is asking about a combined spinal-epidural analgesia for labor pain.What information about this method of analgesia should the nurse provide?

A woman received butorphanol (Stadol)IV for labor pain.Thirty minutes later,the patient's respiratory rate is 8 breaths/minute.What action by the nurse is best?

The perinatal nurse suggests that a laboring woman may wish to use the birth ball.The patient questions the rationale for this suggestion.The best answer by the nurse is that use of the birth ball will facilitate what action?

A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom.What action by the nurse is most appropriate?

The perinatal nurse is directing a student nurse in giving intravenous fentanyl citrate (Sublimaze)to a woman in labor.Which actions by the student would require the registered nurse to intervene?

A nurse is caring for a woman who is going to have an epidural block.The physician orders that an IV be started.Which of the following solutions would be appropriate for the nurse to choose?

The perinatal nurse prepares to assess the labor of a patient who is in the triage area with her partner.She is contracting every 5 to 7 minutes and is very fearful about going home due to extreme fatigue and the distance to her house.The perinatal nurse determines that the patient is a fingertip dilated and50% effaced,and the cervix is anterior.The nurse might anticipate an order for what medication?

A laboring woman has the nursing diagnosis of fear related to incomplete childbirth education.What assessment would best indicate that actions to decrease fear have been successful?

The perinatal nurse is caring for a woman with a postdural puncture headache.What interventions does the nurse include in this woman's care plan?

A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia.The operating room nurse states that the patient received a dose of metoclopramide (Reglan)IV in the operating room.The nurse explains to a student nurse the purpose of giving this drug is to do which of the following?

The perinatal nurse is caring for a Native American woman in labor with her first baby.The patient asks about the possibility of burning sweet grass,a part of her cultural tradition,during labor.Which of the following is the best response by the nurse?

A nurse is coaching a woman in labor in patterned breathing.To use the slow-paced breathing method,which instruction is best?

The woman in labor is complaining of severe back pain.What action should the nurse suggest to the birth partner?

A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students.Which information does the nurse include?

A woman is preparing for whirlpool bath hydrotherapy.To ensure patient safety,what action by the nurse is best?

The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position.What action should the nurse perform to increase the woman's comfort?

A woman is having a planned cesarean birth.The nurse explains to the student that which of the following would not be an appropriate choice of anesthesia for this woman?