Exam 17: Pain Management

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

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 nauseated.Additionally she appears to be very anxious.You explain that opioid analgesics often are used with sedatives because:

The nurse understands that approaches to relaxation in labor include (choose all that apply):

Which statement correctly describes the effects of various pain factors?

Opioids such as hydromorphone,fentanyl,and meperidine can cause excessive central nervous system (CNS)depression in both the mother and newborn.Opioid antagonists such as naloxone (Narcan)can promptly reverse the CNS depressant effects,especially respiratory depression.The RN should use caution in administering naloxone to opioid-dependent women in labor.Is this statement true or false?

Your client is in early labor,and you are discussing the pain relief options she is considering.She states that she wants an epidural "no matter what!" Your best response is:

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

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

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

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

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 who is pregnant for the first time is dilated 3 cm and having contractions every 5 minutes.She is groaning and perspiring excessively;she states that she did not attend childbirth classes.The most important nursing action is to:

During anesthetic management of the morbidly obese woman in labor,the nurse must remain alert for complications specific to this type of client.Which is not a concern for the L&D nurse?

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 IV fluid for a preprocedural bolus.Prior to initiation of the epidural the woman should be informed regarding the disadvantages of an epidural block.They include all except:

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:

Breathing patterns are taught to laboring women.Which breathing pattern would the nurse support for the woman and her coach during the latent phase of the first stage of labor if the couple had attended Lamaze classes?

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? Choose all that apply.

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.

Nurses should be aware that all reputable childbirth methods attempt to meet all these goals except:

In order to help clients manage discomfort and pain during labor,nurses should be aware that: