Exam 13: Pain Management During Childbirth

The primary side effect of maternal narcotic analgesia in the newborn is

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?

A patient presents to the labor and birth area for emergent birth. Vaginal exam reveals that the patient is fully dilated, vertex, +2 station, with ruptured membranes. The patient is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. What is the priority nursing response based on this patient assessment?

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

A labor patient has brought in a photograph 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

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

The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?

You are preparing a patient for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

The nurse is teaching a childbirth education class. Which information regarding excessive pain in labor should the nurse include in the session?

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents? (Select all that apply.)

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

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

To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should

Which physiologic effect may occur in the presence of increased maternal pain perception during labor?

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

A major advantage of nonpharmacologic pain management is

A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would

Which fetal position may cause the laboring patient increased back discomfort?

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

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