Question 1

The nurse is caring for a laboring patient who is not reporting pain.What sign would alert the nurse of the need for pain relief?

Accepted Answer

A)  Frequently asking for ice chips 
B)  Facial grimacing 
C)  Changing positions in bed 
D)  Covering her face with her hands

Question 2

How does the pain of childbirth differ from other types of pain? (Select all that apply. )

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 nurse is providing a conference on nonpharmacological pain control methods.What major advantages of nonpharmacological pain control methods will the nurse include in the presentation? (Select all that apply. )

Accepted Answer

A)  They sedate the mother. 
B)  They do not slow labor. 
C)  They do not dull the excitement of the birth experience. 
D)  They do not have the potential to cause allergic reactions. 
E)  They do not have to be delayed until labor is well established.

Question 4

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 5

The physician has ordered Fentanyl (Sublimaze)for a woman in labor and has asked the nurse to provide patient education.What will the nurse include in the educational plan? (Select all that apply. )

Accepted Answer

A)  Onset is slow. 
B)  Duration is short. 
C)  Administration is by mouth. 
D)  No known side effects. 
E)  It is not the same drug as sufentanil.

Question 6

A woman in labor will receive general anesthesia prior to cesarean section.The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery.What will this prevent?

Accepted Answer

A)  Nausea and vomiting 
B)  Vomiting and aspiration 
C)  Abdominal cramping 
D)  Intestinal obstruction

Question 7

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 8

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 9

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 10

Which are nonpharmacological forms of pain relief? (Select all that apply. )

Accepted Answer

A)  Skin stimulation 
B)  Diversion and distraction 
C)  Breathing techniques 
D)  Exercise 
E)  Yoga

Question 11

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 12

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 13

What is the most appropriate nursing action to take when a laboring woman hyperventilates?

Accepted Answer

A)  Help her breathe into her cupped hands. 
B)  Place her flat on her back. 
C)  Initiate oxygen at 2 liters via mask. 
D)  Notify the doctor.

Exam 7: Nursing Management of Pain During Labor and Birth