Question 1

A patient who received an epidural block asks why her blood pressure is taken so often.What is the nurse's best response to explain the frequent blood pressure assessments?

Accepted Answer

A)  They ensure that unsafe levels of hypertension do not occur. 
B)  They help assess for the need for further pain relief. 
C)  They monitor the progress of labor. 
D)  They ensure adequate placental perfusion.

Question 2

How does the pain of childbirth differ from other types of pain?

Accepted Answer

A)  Childbirth pain is part of a normal process. 
B)  Childbirth pain seldom needs narcotic relief. 
C)  Position changes relieve pain and facilitate delivery. 
D)  Childbirth pain declines following birth. 
E)  Childbirth pain is self-limited.

Question 3

The ______________ ___________,also called the psychoprophylactic method,is the basis of most childbirth preparation classes in the United States.

Accepted Answer

The answer of The ______________ ___________,also called the psychoprophylactic method,is...

Question 4

The nurse is caring for a woman with epidural anesthesia for pain control during a vaginal delivery.A risk for injury related to epidural anesthesia has been identified by the nursing staff.What interventions are appropriate for the nurse to implement related to this diagnosis?

Accepted Answer

A)  Assess leg movement and sensation before ambulating. 
B)  Administer antibiotic as ordered. 
C)  Observe for signs of impending birth. 
D)  Provide sacral pressure as needed. 
E)  Assess fetal position frequently.

Question 5

When caring for the laboring patient,the nurse determines that the fetus is located in the right occiput posterior (ROA).What will the nurse anticipate?

Accepted Answer

A)  Urinary retention 
B)  Severe lower back pain 
C)  A shorter labor process 
D)  Nausea

Question 6

The nurse who encourages the gate control theory of pain control would advise a woman in labor and her partner to use which nonpharmacological method of pain management?

Accepted Answer

A)  Slow abdominal breathing 
B)  Guided relaxation 
C)  Listening to music 
D)  Massage

Question 7

A woman in labor has had an epidural block for pain relief.The nurse will be assessing carefully for what associated side effect of this type of regional anesthesia?

Accepted Answer

A)  Reduced fetal heart rate 
B)  Long, intense contractions 
C)  Sudden leg cramps 
D)  Bladder distention

Question 8

A nurse instructs a woman's labor coach to comfort her by firmly pressing on her lower back.What is this technique?

Accepted Answer

A)  Sacral pressure 
B)  Distraction 
C)  Effleurage 
D)  Conscious relaxation

Question 9

Which position(s)and exercise(s)will the nurse teach as beneficial in combating discomfort in the later stages of pregnancy?

Accepted Answer

A)  Leg lifts 
B)  Pelvic rock 
C)  Tailor sitting 
D)  Sit-ups 
E)  Shoulder curling

Question 10

A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief.What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

Accepted Answer

A)  It can cause medication given at later stages to be ineffective. 
B)  It will have no complications for the mother or infant. 
C)  It may result in respiratory depression to the newborn. 
D)  It will speed up labor and increase pain.

Question 11

What chemical substance(s)produced in the body acts as a natural pain reliever?

Accepted Answer

A)  Endorphins 
B)  Morphine 
C)  Codeine 
D)  Atropine

Question 12

A woman who is 6 cm dilated has the urge to push.What will the nurse instruct the woman to do during the contraction?

Accepted Answer

A)  Use slow-paced breathing. 
B)  Hold her breath and push. 
C)  Blow in short breaths. 
D)  Use rapid-paced breathing.

Question 13

What typical types of classes are available to help expectant parents prepare for parenthood?

Accepted Answer

A)  Infant care 
B)  Breastfeeding 
C)  Gestational diabetes 
D)  Sources of financial aid 
E)  Yoga

Question 14

A woman requests a pudendal block to manage her labor pain.What statement by the woman indicates a need for further explanation about the pudendal block?

Accepted Answer

A)  "I'm having a contraction. Can I get the pudendal block now?" 
B)  "I'll get the pudendal block right before I deliver." 
C)  "The nurse midwife will insert the needles into my vagina." 
D)  "It takes a few minutes after the medicine is administered to make me feel numb."

Question 15

The massage technique that stimulates the large-diameter fibers in order to block impulses from the small-diameter fibers is ____________________.

Accepted Answer

The answer of The massage technique that stimulates the large-diameter...

Question 16

What breathing techniques would the nurse teach the prenatal patient to help her focus during labor in order to reduce pain?

Accepted Answer

A)  First stage breathing 
B)  Abdominal breathing 
C)  Fourth stage breathing 
D)  Modified pace breathing 
E)  Patterned paced breathing

Exam 7: Nursing Management of Pain During Labor and Birth