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PN 108 PREPU CHAPTER 9 EXAM QUESTIONS AND VERIFIED ANSWERS
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PN 108 PREPU CHAPTER 9 EXAM QUESTIONS AND VERIFIED ANSWERS...
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There has been much research done on pain and the perception of pain.What is the result of research done on levels of satisfaction with the
control of labour pain? - ANSWER Women report higher levels of
satisfaction when they felt they had a high degree of control over the
pain experience.
Which possible outcome would be a major disadvantage of any pain-
relief method that also affects awareness of the mother? - ANSWER
The mother may have difficulty working effectively with contractions.
A woman's husband expresses concern about risk of paralysis from an
epidural block being given to his wife. Which would be the most
appropriate response by the nurse? - ANSWER "The injection is given
in the space outside the spinal cord."
A woman states that she does not want any medication for pain relief
during labour. Her primary care provider has approved this for her. What
the nurse's best response to her concerning this choice? - ANSWER "I
respect your preference whether it is to have medication or not."
A woman is lightly stroking her abdomen in rhythm with her breathing
during contractions. The nurse identifies this technique as: - ANSWER
effleurage.
A woman in labour who received an opioid for pain relief develops
respiratory depression. The nurse would expect which agent to be
administered? - ANSWER naloxone
Which nursing action is required before a client in labour receives an
epidural? - ANSWER Giving a fluid bolus of 500 ml
A client in labour receiving epidural anesthesia develops hypotension.
Which of the following would the nurse do first? - ANSWER Give an
intravenous bolus of fluid
, A client in active labour is given spinal anesthesia. Which information
would the nurse include when discussing with the client and family about
the disadvantages of spinal anesthesia? - ANSWER headache
following anesthesia
When discussing the advantages and disadvantages of spinal
anesthesia with a client in labour, which of the following would the nurse
include as a disadvantage? - ANSWER Lack of sensation of urge to
push
A woman's perception of pain can differ according to all of the following
except: - ANSWER the presentation, lie, and attitude of the fetus.
A client who requested "no drugs" in labour asks the nurse what other
options are available for pain relief. The nurse reviews several options
for nonpharmacologic pain relief, and the client thinks effleurage may
help her manage the pain. This indicates that the nurse will: - ANSWER
instruct the client or her partner to perform light fingertip repetitive
abdominal massage.
A primigravida, who is 1 cm dilated, is in early latent labour. She has
expressed a desire to avoid epidural anesthesia and asks about
nonpharmacologic options for pain relief as her labour progresses. How
could the nurse appropriately respond? Select all that apply. - ANSWER
"The tub usually is not recommended when you are at such an early
stage because it can cause your labour to slow down. Let's talk about
using the tub as your labour progresses."
"I can show you some simple breathing exercises that can help you
relax."
"You may want to go for a walk now. When you come back, I'll show you
how to use the birthing ball."
Which statement is true regarding analgesia versus anesthesia? -
ANSWER Analgesia only reduces pain, but anesthesia partially or
totally blocks all pain in a particular area.
A labouring client is restless and moving frequently in the bed. She
appears to be more uncomfortable with the contractions but refuses pain
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