Question 1

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

Accepted Answer

A)  hypotension. 
B)  headache. 
C)  neonatal respiratory depression. 
D)  loss of movement. 
A)  hypotension. 
B)  headache. 
C)  neonatal respiratory depression. 
D)  loss of movement.

Question 2

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

Accepted Answer

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

Question 3

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:

Accepted Answer

A)  music supplied by the support person has to be discouraged because it could disturb others or upset the hospital routine. 
B)  women in labor can benefit from sitting in a bathtub, but they must limit immersion to no longer than 15 minutes at a time. 
C)  effleurage is permissible, but counterpressure is almost always counterproductive. 
D)  electrodes attached to either side of the spine to provide high-intensity electrical impulses facilitate the release of endorphins. 
A)  music supplied by the support person has to be discouraged because it could disturb others or upset the hospital routine. 
B)  women in labor can benefit from sitting in a bathtub, but they must limit immersion to no longer than 15 minutes at a time. 
C)  effleurage is permissible, but counterpressure is almost always counterproductive. 
D)  electrodes attached to either side of the spine to provide high-intensity electrical impulses facilitate the release of endorphins.

Question 4

MATCHING
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.

Accepted Answer

A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy 
A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy

Question 5

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

Accepted Answer

A)  breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction. 
B)  by the time labor has begun, it is too late for instruction in breathing and relaxation. 
C)  controlled breathing techniques are most difficult near the end of the second stage of labor. 
D)  the patterned-paced breathing technique can help prevent hyperventilation. 
A)  breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction. 
B)  by the time labor has begun, it is too late for instruction in breathing and relaxation. 
C)  controlled breathing techniques are most difficult near the end of the second stage of labor. 
D)  the patterned-paced breathing technique can help prevent hyperventilation.

Question 6

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

Accepted Answer

A)  Massaging the woman's back 
B)  Changing the woman's position 
C)  Giving the prescribed medication 
D)  Encouraging the woman to rest between contractions 
A)  Massaging the woman's back 
B)  Changing the woman's position 
C)  Giving the prescribed medication 
D)  Encouraging the woman to rest between contractions

Question 7

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

Accepted Answer

A)  an epidural. 
B)  a pudendal. 
C)  a local. 
D)  a spinal block. 
A)  an epidural. 
B)  a pudendal. 
C)  a local. 
D)  a spinal block.

Question 8

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:

Accepted Answer

A)  not used much anymore. 
B)  likely to be used in the second stage of labor but not in the first stage. 
C)  an application of nitrous oxide. 
D)  a prelude to cesarean birth. 
A)  not used much anymore. 
B)  likely to be used in the second stage of labor but not in the first stage. 
C)  an application of nitrous oxide. 
D)  a prelude to cesarean birth.

Question 9

MATCHING
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.

Accepted Answer

A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy 
A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy

Question 10

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.)

Accepted Answer

A)  yawning, runny nose. 
B)  increase in appetite. 
C)  chills and hot flashes. 
D)  constipation. 
E)  irritability, restlessness. 
A)  yawning, runny nose. 
B)  increase in appetite. 
C)  chills and hot flashes. 
D)  constipation. 
E)  irritability, restlessness.

Question 11

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

Accepted Answer

A)  dissociation. 
B)  effleurage. 
C)  imagery. 
D)  distraction. 
A)  dissociation. 
B)  effleurage. 
C)  imagery. 
D)  distraction.

Question 12

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?

Accepted Answer

A)  Fentanyl (Sublimaze) 
B)  Promethazine (Phenergan) 
C)  Naloxone (Narcan) 
D)  Nalbuphine (Nubain) 
A)  Fentanyl (Sublimaze) 
B)  Promethazine (Phenergan) 
C)  Naloxone (Narcan) 
D)  Nalbuphine (Nubain)

Question 13

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 are often used with sedatives because:

Accepted Answer

A)  "The two together work the best for you and your baby." 
B)  "Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea." 
C)  "They work better together so you can sleep until you have the baby." 
D)  "This is what the doctor has ordered for you." 
A)  "The two together work the best for you and your baby." 
B)  "Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea." 
C)  "They work better together so you can sleep until you have the baby." 
D)  "This is what the doctor has ordered for you."

Question 14

MATCHING
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.

Accepted Answer

A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy 
A) Walking 
B) Massage 
C) Acupuncture 
D) Water immersion 
E) Aromatherapy

Question 15

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.)

Accepted Answer

A)  culture. 
B)  anxiety and fear. 
C)  previous experiences with pain. 
D)  intervention of caregivers. 
E)  support systems. 
A)  culture. 
B)  anxiety and fear. 
C)  previous experiences with pain. 
D)  intervention of caregivers. 
E)  support systems.

Question 16

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:

Accepted Answer

A)  assess for fetal well-being. 
B)  encourage the woman to lie on her side. 
C)  disturb the woman as little as possible. 
D)  recognize that pain is personalized for each individual. 
A)  assess for fetal well-being. 
B)  encourage the woman to lie on her side. 
C)  disturb the woman as little as possible. 
D)  recognize that pain is personalized for each individual.

Question 17

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

Accepted Answer

A)  Epidural anesthesia 
B)  Narcotics 
C)  Spinal block 
D)  Breathing and relaxation techniques 
A)  Epidural anesthesia 
B)  Narcotics 
C)  Spinal block 
D)  Breathing and relaxation techniques

Question 18

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

Accepted Answer

A)  systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier. 
B)  effects on the fetus and newborn can include decreased alertness and delayed sucking. 
C)  intramuscular (IM) administration is preferred over intravenous (IV) administration. 
D)  IV patient-controlled analgesia (PC
A)  results in increased use of an analgesic. 
A)  systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier. 
B)  effects on the fetus and newborn can include decreased alertness and delayed sucking. 
C)  intramuscular (IM) administration is preferred over intravenous (IV) administration. 
D)  IV patient-controlled analgesia (PC
A)  results in increased use of an analgesic.

Exam 14: Maximizing Comfort for the Laboring Woman

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

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

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:

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

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:

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:

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

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 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 are often used with sedatives because:

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.)

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:

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

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

Assessment and Health Promotion

Reproductive System Concerns

Infertility, contraception, and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High-Risk Pregnancy

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High-Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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