Exam 15: Pain Management During Childbirth

When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction?

You are preparing a client for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

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

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

The nurse is preparing a client for a cesarean section scheduled to be done under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)

A client in labor is approaching the transition stage and already has an epidural in place. An additional dose of medication has been prescribed and administered to the client. Which priority intervention should be done by the nurse to help evaluate clinical response to treatment?

The priority intervention for a client with epidural anesthesia whose blood pressure is 80/50 mm Hg is:

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention?

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

Match each term with the correct definition. -Focal point

Which clinical effect can occur in the presence of increased maternal pain perception during labor?

A labor client, gravida 2, para 1, at term has received meperidine (Demerol) for pain control during labor. Her most recent dose was 15 minutes ago and birth is now imminent. Maternal vital signs have been stable and the EFM tracing has not shown any baseline changes. Which medication does the nurse anticipate would be required in the birth room for administration?

A client presents to the labor and birth area for emergent birth. Vaginal exam reveals that the client is fully dilated, vertex, +2 station, with ruptured membranes. The client is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. What is the priority nursing response based on this client assessment?

A woman with a known heroin habit is admitted in early labor. Which drug is contraindicated with opiate-dependent patients?

Your laboring client has asked that you help her to use a cutaneous stimulation strategy for pain management, you would then:

A pregnant woman is in the second stage of labor and is actively pushing. What type of pain would she be most likely to experience?

Which fetal position may cause the laboring client more back discomfort?

A client is admitted to the labor and birth room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. When is the best time to ask questions or do procedures?

Childbirth pain is different from other types of pain in that it is:

Match each term with the correct definition. -Acupressure