Exam 14: Pain Management

It is important for the nurse to develop a realistic birth plan with the pregnant woman in her care.The nurse can explain that a major advantage of nonpharmacologic pain management is:

With regard to a pregnant woman's anxiety and pain experience,nurses should be aware that:

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 (Select all that apply):

To assist the woman after delivery of the infant,the nurse knows that the blood patch is used after spinal anesthesia to relieve:

With regard to nerve block analgesia and anesthesia,nurses should be aware that:

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

A woman in active labor receives an analgesic opioid agonist.Which medication relieves severe,persistent,or recurrent pain; creates a sense of well-being; overcomes inhibitory factors; and may even relax the cervix but should be used cautiously in women with cardiac disease?

Which statement correctly describes the effects of various pain factors?

With regard to breathing techniques during labor,maternity nurses should understand that:

Nurses with an understanding of cultural differences regarding likely reactions to pain may be better able to help clients.Nurses should know that _____ women may be stoic until late in labor,when they may become vocal and request pain relief.

The role of the nurse with regard to informed consent is to:

After change-of-shift report the nurse assumes care of a multiparous client in labor.The woman is complaining of pain that radiates to her abdominal wall,lower back,and buttocks and down her thighs.Before implementing a plan of care,the nurse should understand that this type of pain is:

In the current practice of childbirth preparation,emphasis is placed on:

An 18-year-old pregnant woman,gravida 1,is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds.The woman states,"My contractions are so strong that I don't know what to do with myself." The nurse should:

A woman in the active phase of the first stage of labor is using a shallow pattern of breathing,which is about twice the normal adult breathing rate.She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling.The nurse should:

To help clients manage discomfort and pain during labor,nurses should be aware that:

Many women seek alternative or complementary pain relief during labor to delay or avoid pharmacologic or invasive therapies. Evidence regarding the use of these modalities has been sparse, and so they remain underutilized. Published reviews of the best-known therapies identified the benefits of each modality for the woman in labor. Please match the alternative modality with the correct research finding. -Significantly decreased use of analgesia,shorter labor

In assessing a woman for pain and discomfort management during labor,a nurse most likely would:

With regard to systemic analgesics administered during labor,nurses should be aware that:

The class of drugs known as opioid analgesics (butorphanol,nalbuphine)is not suitable for administration to women with known opioid dependence.The antagonistic activity could precipitate withdrawal symptoms (abstinence syndrome)in both mothers and newborns.Signs of opioid/narcotic withdrawal in the mother would include (Select all that apply):