Question 1

Which statement is true with regard to the type of pain associated with childbirth experience?

Accepted Answer

A)  Pain is constant throughout the labor experience. 
B)  Labor pain during childbirth is considered to be an abnormal response. 
C)  Pain associated with childbirth is self-limiting. 
D)  Pain associated with childbirth does not allow for adequate preparation. 
A)  Pain is constant throughout the labor experience. 
B)  Labor pain during childbirth is considered to be an abnormal response. 
C)  Pain associated with childbirth is self-limiting. 
D)  Pain associated with childbirth does not allow for adequate preparation.

Question 2

Meperidine (Demerol), 50 mg IV, has been ordered for a laboring patient. The patient is contracting every 3 minutes, with a duration of 45 to 60 seconds. What is the nurse's best plan for administering the IV medication?

Accepted Answer

A)  Inject the medication between two contractions. 
B)  Inject the medication during and after a single contraction. 
C)  Inject the medication at the start of the next two contractions. 
D)  Inject the medication throughout the duration of a single contraction. 
A)  Inject the medication between two contractions. 
B)  Inject the medication during and after a single contraction. 
C)  Inject the medication at the start of the next two contractions. 
D)  Inject the medication throughout the duration of a single contraction.

Question 3

The process of labor places significant metabolic demands on the obstetric client. Which physiologic findings would be expected?

Accepted Answer

A)  Decreased maternal blood pressure as a result of stimulation of alpha receptors 
B)  Uterine vasoconstriction as a result of stimulation of beta receptors 
C)  Increased maternal demand for oxygen 
D)  Increased blood flow to placenta because of catecholamine release 
A)  Decreased maternal blood pressure as a result of stimulation of alpha receptors 
B)  Uterine vasoconstriction as a result of stimulation of beta receptors 
C)  Increased maternal demand for oxygen 
D)  Increased blood flow to placenta because of catecholamine release

Question 4

A major advantage of nonpharmacologic pain management is that:

Accepted Answer

A)  a more rapid labor is likely. 
B)  more complete pain relief is possible. 
C)  the woman remains fully alert at all times. 
D)  there are no side effects or risks to the fetus. 
A)  a more rapid labor is likely. 
B)  more complete pain relief is possible. 
C)  the woman remains fully alert at all times. 
D)  there are no side effects or risks to the fetus.

Question 5

A nurse is teaching a childbirth education class. Which information about excessive pain in labor should the nurse include in the session?

Accepted Answer

A)  It usually results in a more rapid labor. 
B)  It has no effect on the outcome of labor. 
C)  It is considered to be a normal occurrence. 
D)  It may result in decreased placental perfusion. 
A)  It usually results in a more rapid labor. 
B)  It has no effect on the outcome of labor. 
C)  It is considered to be a normal occurrence. 
D)  It may result in decreased placental perfusion.

Question 6

The primary side effect of maternal narcotic analgesia in the newborn is:

Accepted Answer

A)  tachypnea. 
B)  bradycardia. 
C)  acrocyanosis. 
D)  respiratory depression. 
A)  tachypnea. 
B)  bradycardia. 
C)  acrocyanosis. 
D)  respiratory depression.

Question 7

The nurse detects hypotension in a laboring client after an epidural. Which actions should the nurse plan to implement? (Select all that apply.)

Accepted Answer

A)  Encourage the client to drink fluids. 
B)  Place the client in a Trendelenburg position. 
C)  Administer a normal saline bolus as prescribed. 
D)  Administer oxygen at 8 to 10 L/min per face mask. 
E)  Administer IV ephedrine in 5- to 10-mg increments as prescribed. 
A)  Encourage the client to drink fluids. 
B)  Place the client in a Trendelenburg position. 
C)  Administer a normal saline bolus as prescribed. 
D)  Administer oxygen at 8 to 10 L/min per face mask. 
E)  Administer IV ephedrine in 5- to 10-mg increments as prescribed.

Exam 15: Pain Management During Childbirth

Which statement is true with regard to the type of pain associated with childbirth experience?

Meperidine (Demerol), 50 mg IV, has been ordered for a laboring patient. The patient is contracting every 3 minutes, with a duration of 45 to 60 seconds. What is the nurse's best plan for administering the IV medication?

The process of labor places significant metabolic demands on the obstetric client. Which physiologic findings would be expected?

A major advantage of nonpharmacologic pain management is that:

A nurse is teaching a childbirth education class. Which information about excessive pain in labor should the nurse include in the session?

The primary side effect of maternal narcotic analgesia in the newborn is:

The nurse detects hypotension in a laboring client after an epidural. Which actions should the nurse plan to implement? (Select all that apply.)

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