Pain Management During Labor > Maternal & Newborn
Exam Review
Introduction
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a client who is in labor and requests nonpharmacological pain relief measures.
Which of the following actions should the nurse take? (Select all that apply.).
Explanation
These are all nonpharmacological pain relief measures that the nurse can take for a client who is in labor.
• aromatherapy can help the client relax and cope with the pain by stimulating the olfactory system and influencing the limbic system.
• sacral counterpressure can relieve back pain caused by posterior fetal position by applying firm pressure on the sacrum during contractions.
• effleurage is a form of light rhythmic stroking of the abdomen that can distract the client from the pain and increase endorphin production.
• continuous labor support can reduce anxiety, fear, and stress, and enhance the client’s sense of control and confidence.
A nurse is reviewing the options for pharmacologic analgesia with a client who is in the first stage of labor.
Which of the following statements by the nurse is appropriate?
Explanation
Nitrous oxide is a self-administered inhaled analgesic that can reduce anxiety and pain perception during labor.It has a rapid onset and offset, and does not cause respiratory depression in the mother or the baby.
A nurse is preparing a client for a cesarean delivery and explains the procedure for spinal anesthesia.
Which of the following information should the nurse include?
Explanation
This is a description of spinal anesthesia, which is the safest form of anesthesia for cesarean delivery.Spinal anesthesia involves inserting a needle into the subarachnoid space and injecting a local anesthetic and/or a narcotic into the cerebrospinal fluid.
A lumbar puncture involves making a small puncture in the dura mater and allowing a small amount of cerebrospinal fluid to leak out for analysis.
A lumbar puncture does not involve injecting any medication or blocking any pain sensations.
A nurse is assessing a client who is receiving epidural analgesia during labor.
Which of the following findings should the nurse report to the provider?
Explanation
This finding should be reported to the provider because it indicates a possible infection, which can be a complication of epidural anesthesia.
A nurse is caring for a client who has opioid use disorder and is in labor.
Which of the following actions should the nurse take to provide individualized pain management for this client? (Select all that apply.).
Explanation
The nurse should consult with a substance use disorder specialist to determine the best pain management plan for the client who has opioid use disorder and is in labor.
The nurse should also monitor the client and the fetus closely for signs of withdrawal, which can occur due to reduced opioid intake during labor or due to the administration of opioid antagonists.
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