Exam 15: Pain Management During Childbirth

Which of the following factors would affect pain perception or tolerance for the laboring client?

A client received 25 mg of meperidine (Demerol) intravenously 1 hour before birth. Which drug should the nurse have readily available?

The nurse is administering fentanyl (Sublimaze) to a client in labor. The health care provider's prescription reads fentanyl (Sublimaze), 100 mcg IV stat. The medication vial reads fentanyl (Sublimaze), 50 mcg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer as a whole number. _____ mL

The nurse is providing care to a patient in the active phase of the first stage of labor. The patient is crying out loudly with each contraction. What is the nurse's priority action for this patient?

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

The best time to teach nonpharmacologic pain control methods to an unprepared laboring client is during which stage?

To relieve a mild postdural puncture headache, the nurse should encourage the intake of:

A labor client has brought in with her a picture of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of:

Childbirth preparation can be considered successful if the outcome is described as which of the following?

The health care provider's prescription reads diphenhydramine (Benadryl), 25 mg IV stat. The medication vial reads diphenhydramine (Benadryl), 50 mg/mL. The nurse should prepare how many milliliters to administer the correct dose? Record your answer to one decimal point. _____ mL

A client in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with:

Which client will most likely have increased anxiety and tension during labor?

Which client will be most receptive to teaching about nonpharmacologic pain control methods?

While developing an intrapartum care plan for the client in early labor, it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain. These include which of the following? (Select all that apply.)

Match each term with the correct definition. -Progressive relaxation

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

A patient in active labor requests an epidural for pain management. What is the nurse's priority action for this patient?

Excessive anxiety during labor heightens the client's sensitivity to pain by increasing:

Which of the following clients could be a candidate for a vaginal birth after cesarean section (VBAC)?

The nerve block used in labor that provides anesthesia to the lower vagina and perineum is a(n):