Pain Management During Labor > Maternal & Newborn
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Nonpharmacologic Pain Management During Labor
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a woman who is in active labor and wants to use water immersion as a nonpharmacologic pain management method.
What should the nurse do before assisting the woman into the tub?
Explanation
The nurse should monitor the fetal well-being and maternal progress before assisting the woman into the tub.Water immersion during labor may be associated with decreased pain or use of anesthesia and decreased duration of labor, but it should not prevent or inhibit other elements of care.
A nurse is teaching a childbirth preparation class about the benefits of upright positioning during labor.
What should the nurse include in the teaching? (Select all that apply.)
Explanation
These are the benefits of upright positioning during labor:
• It improves blood flow to the uterus and placenta, which means better oxygen supply to the baby.
• It reduces pressure on the sacrum and perineum, which means less pain and discomfort for the mother.
• It increases pelvic diameter and fetal descent, which means shorter and more effective contractionsand easier delivery.
A nurse is providing continuous labor support to a woman who is experiencing back pain due to a posterior fetal position.
What nonpharmacologic technique can the nurse use to relieve the pain?
Explanation
Sacral pressure is a nonpharmacologic technique that can relieve back pain due to a posterior fetal position by applying firm pressure to the lower back with a fist, tennis ball, or other object.
This can help counteract the pressure of the fetal head on the sacrum and reduce discomfort.
A nurse is instructing a woman in labor to use relaxation techniques to cope with pain.
What are some examples of relaxation techniques that the nurse can suggest? (Select all that apply.)
Explanation
Breathing exercises, progressive muscle relaxation, guided imagery, and aromatherapy are all examples of relaxation techniques that can help a woman in labor cope with pain.
These techniques can reduce stress, anxiety, and muscle tension, and enhance the release of endorphins, which are natural painkillers.
A nurse is explaining the gate control theory of pain to a woman in labor who wants to use cutaneous stimulation as a nonpharmacologic pain management method.
What should the nurse say about how cutaneous stimulation works?
Explanation
This is based on thegate control theory of pain, which describes how non-painful sensations can override and reduce painful sensations.According to this theory, there are neurological “gates” in the spinal cord that decide which pain signals pass through and which are kept out.When non-painful stimuli, such as cutaneous stimulation, activate large-diameter nerve fibers, they can close the gates and block the transmission of pain signals from small-diameter nerve fibers.
This reduces the perception of pain in the brain.
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