Question 1

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

Accepted Answer

A) Even mild anxiety must be treated 
B) Severe anxiety increases tension,which increases pain,which in turn increases fear and anxiety,and so on 
C) Anxiety may increase the perception of pain,but it does not affect the mechanism of labor 
D) Women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity 
A) Even mild anxiety must be treated 
B) Severe anxiety increases tension,which increases pain,which in turn increases fear and anxiety,and so on 
C) Anxiety may increase the perception of pain,but it does not affect the mechanism of labor 
D) Women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity

Question 2

Benzodiazepines (Valium,Ativan),when given in conjunction with opioid analgesia,appear to enhance pain relief and reduce nausea and vomiting.Because of the positive effects of this combination,benzodiazepines are frequently used during labor.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 3

According to professional standards (AWHONN,2007)the nonanesthetist registered nurse caring for a woman with an epidural is permitted to perform all actions except:

Accepted Answer

A) Monitor the status of the woman and fetus 
B) Initiate epidural anesthesia 
C) Replace empty infusion bags with the same medication and concentrate 
D) Stop the infusion and initiate emergency measures 
A) Monitor the status of the woman and fetus 
B) Initiate epidural anesthesia 
C) Replace empty infusion bags with the same medication and concentrate 
D) Stop the infusion and initiate emergency measures

Question 4

Conscious relaxation is associated with which method of childbirth preparation?

Accepted Answer

A) Grantly Dick-Read method 
B) Lamaze method 
C) Bradley method 
D) Psychoprophylactic method 
A) Grantly Dick-Read method 
B) Lamaze method 
C) Bradley method 
D) Psychoprophylactic method

Question 5

Today's pregnant woman has a number of nonpharmacologic measures available to assist with pain relief in labor.One such measure involves the application of heat,cold,or pressure to specific areas of the body and is known as ________________.

Accepted Answer

Acupressure
The effectiveness of acupres

Question 6

A nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if:

Accepted Answer

A) The mother gives birth without any analgesic or anesthetic 
B) The mother's priorities and preferences are incorporated into the plan 
C) The primary health care provider decides the best pain relief for the mother and family 
D) The nurse informs the family of all alternative methods of pain relief available in the hospital setting 
A) The mother gives birth without any analgesic or anesthetic 
B) The mother's priorities and preferences are incorporated into the plan 
C) The primary health care provider decides the best pain relief for the mother and family 
D) The nurse informs the family of all alternative methods of pain relief available in the hospital setting

Question 7

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,I don't know what to do." 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

Exam 17: Pain Management

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

Benzodiazepines (Valium,Ativan),when given in conjunction with opioid analgesia,appear to enhance pain relief and reduce nausea and vomiting.Because of the positive effects of this combination,benzodiazepines are frequently used during labor.Is this statement true or false?

According to professional standards (AWHONN,2007)the nonanesthetist registered nurse caring for a woman with an epidural is permitted to perform all actions except:

Conscious relaxation is associated with which method of childbirth preparation?

Today's pregnant woman has a number of nonpharmacologic measures available to assist with pain relief in labor.One such measure involves the application of heat,cold,or pressure to specific areas of the body and is known as ________________.

A nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if:

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,I don't know what to do." The nurse should:

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Clinical Genetics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Maternal and Fetal Nutrition

Nursing Care of the Family During Pregnancy

Labor and Birth Processes

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiology

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment for Risk Factors in Pregnancy

Hypertensive Disorders in Pregnancy

Antepartum Hemorrhagic Disorders

Endocrine and Metabolic Disorders in Pregnancy

Medical-Surgical Problems in Pregnancy

Obstetric Critical Care

Mental Health Disorders and Substance Abuse in Pregnancy

Labor and Birth Complications

Postpartum Complications

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Nursing Care of the High Risk Newborn

Perinatal Loss and Grief

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