Exam 14: Pain Management

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. -Less pain and anxiety during the first stage of labor

A first-time mother is concerned about the type of medications she will receive during labor.She is in a fair amount of pain and is nauseous.In addition,she appears to be very anxious.You explain that opioid analgesics often are used with sedatives because:

A laboring woman received an opioid agonist (meperidine)intravenously 90 minutes before she gave birth.Which medication should be available to reduce the postnatal effects of Demerol on the neonate?

A woman has requested an epidural for her pain.She is 5 cm dilated and 100% effaced.The baby is in a vertex position and is engaged.The nurse increases the woman's intravenous fluid for a preprocedural bolus.She reviews her laboratory values and notes that the woman's hemoglobin is 12 g/dL,hematocrit is 38%,platelets are 67,000,and white blood cells (WBCs)are 12,000/mm³.Which factor would contraindicate an epidural for the woman?

The laboring woman who imagines her body opening to let the baby out is using a mental technique called:

Maternity nurses often have to answer questions about the many,sometimes unusual ways people have tried to make the birthing experience more comfortable.For instance,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. -No difference when compared with placebo

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. -Less pain intensity,decreased use of analgesia,fewer instrumental births

Nurses should be aware of the differences experience can make in labor pain such as:

If an opioid antagonist is administered to a laboring woman,she should be told that:

The obstetric nurse is preparing the patient for an emergency cesarean birth,with no time to administer spinal anesthesia.The nurse is aware and prepared for the greatest risk of administering general anesthesia to the patient.This risk is:

Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?

A woman in labor is breathing into a mouthpiece just before the start of her regular contractions.As she inhales,a valve opens,and gas is released.She continues to inhale the gas slowly and deeply until the contraction starts to subside.When the inhalation stops,the valve closes.This procedure is:

A woman is experiencing back labor and complains of intense pain in her lower back.An effective relief measure would be to use:

With regard to spinal and epidural (block)anesthesia,nurses should know 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. -Reduced length of labor,increased satisfaction of pain relief

A woman in labor has just received an epidural block.The most important nursing intervention is to:

The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is:

Nursing care measures are commonly offered to women in labor.Which nursing measure reflects application of the gate-control theory?

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is called: