Nursing Interventions for Pain Management During Labor

Total Questions : 5

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Question 1:

A nurse is assessing a client’s pain during labor using a numerical rating scale.

The client reports a pain level of 8 out of 10.

What is the nurse’s priority action?

Explanation

According to the article by Carvalho and Mhyre, pain scales such as the numerical rating scale are unidimensional and lack many characteristics of an ideal psychometric pain instrument in a labor setting.

They also state that “the most important question for laboring women is not ‘How much does it hurt?’ but rather ‘How are you coping?’”.Therefore, the nurse’s priority action is to assess the woman’s coping skills and provide comfort measures such as relaxation, breathing techniques, massage, heat or cold application, etc


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Question 2:

A nurse is educating a client about nonpharmacologic methods of pain management during labor.

Which of the following statements by the client indicates an understanding of the teaching?

Explanation

Aromatherapy is a nonpharmacologic method of pain management during labor that uses scented oils or candles to stimulate the senses and distract the woman from the pain.Aromatherapy can also help reduce anxiety and stress during labor.


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Question 3:

A nurse is administering an epidural analgesia to a client in labor.

Which of the following actions should the nurse take?

Explanation

Obtaining informed consent is an essential step before administering epidural analgesia to a client in labor.The nurse should explain the procedure, benefits, risks, and alternatives to the client and obtain her written consent.


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Question 4:

A nurse is evaluating a client’s satisfaction with pain management during labor.

Which of the following tools should the nurse use?

Explanation

This is a pain assessment tool that combines pictures and numbers for pain ratings.

It can be used in adults and children over age 3.

Six faces depict different expressions, ranging from happy to extremely upset.

Each is assigned a numerical rating between 0 (smiling) and 10 (crying).To use it, the patient can point to the picture that best represents the degree and intensity of their pain.


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Question 5:

A nurse is providing continuous labor support to a client in labor.

Which of the following actions should the nurse take? (Select all that apply.).

Explanation

These are all actions that the nurse should take to provide continuous labor support to a client in labor.According to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), continuous labor support from a registered nurse (RN) is critical to achieve improved birth outcomes.Continuous labor support includes encouraging the client to drink clear fluids and ice chips, assisting the client with ambulation and position changes, providing feedback and reinforcement to the client and her partner, and massaging the client’s back and shoulders during contractions.


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