Exam 13: Pain Management During Childbirth

Excessive anxiety during labor heightens the patient's sensitivity to pain by increasing

While developing an intrapartum care plan for the patient in early labor, it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain. These include which of the following? (Select all that apply.)

Which of the following factors would affect pain perception or tolerance for the laboring patient?

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

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

A labor patient, 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?

Childbirth preparation can be considered successful if which of the following outcomes is achieved?

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

Which patient will be most receptive to teaching about nonpharmacologic pain control methods?

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

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

A laboring patient who imagines her body opening to let the baby out is using a mental technique called

A patient 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 patient. Which priority intervention should be performed in order to evaluate the clinical response to treatment?

The nurse is providing care to a patient in the active phase of the first stage of labor. The patient is crying out loudly with each contraction. What is the nurse's most respectful approach for this patient?

The nurse is administering fentanyl (Sublimaze) to a patient in labor. The health care provider's prescription reads fentanyl (Sublimaze), 100 mcg IV stat. The medication vial reads fentanyl (Sublimaze), 50 mcg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer as a whole number. _____ mL

A patient 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 perform procedures?

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

The best time to teach nonpharmacologic pain control methods to an unprepared laboring patient is during which stage?

A patient in active labor requests an epidural for pain management. What is the nurse's most appropriate intervention at this juncture?