NR327 EXAM 2 REVIEW QUESTIONS #8 NURSING CARE DURING LABOR AND BIRTH (15)

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1. 1. 1. Childbirth preparation can be considered successful if the outcome is described as which of the following? * Mark only one oval. a. Labor was pain-free. b. The birth experiences of frien... ds and families were ignored. c. Only nonpharmacologic methods for pain control were used. d. The client rehearsed labor and practiced skills to master pain. 2. 2. A woman with a known heroin habit is admitted in early labor. Which drug is contraindicated with opiate-dependent patients? * Mark only one oval. a. Nalbuphine (Nubain) b. Hydroxyzine (Vistaril) c. Promethazine (Phenergan) d. Diphenhydramine (Benadryl) 3. 3. A client is admitted to the labor and birth room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. When is the best time to ask questions or do procedures? * Mark only one oval. a. After the contraction is over b. When it is all right with the coach c. During increment of next contraction d. After administration of analgesic-anesthetic 4. 4. Childbirth pain is different from other types of pain in that it is: * Mark only one oval. a. less intense. b. associated with a physiologic process. c. more responsive to pharmacologic management. d. designed to make one withdraw from the stimulus. 5. 5. Excessive anxiety during labor heightens the client's sensitivity to pain by increasing: * Mark only one oval. a. muscle tension. b. the pain threshold. c. blood flow to the uterus. d. rest time between contractions. 6. 6. Which fetal position may cause the laboring client more back discomfort? * Mark only one oval. a. Left occiput anterior b. Left occiput posterior c. Right occiput anterior d. Right occiput transverse 7. 7. A major advantage of nonpharmacologic pain management is that: * Mark only one oval. a. a more rapid labor is likely. b. more complete pain relief is possible. c. the woman remains fully alert at all times. d. there are no side effects or risks to the fetus. 8. 8. The best time to teach nonpharmacologic pain control methods to an unprepared laboring client is during which stage? * Mark only one oval. a. Latent phase b. Active phase c. Second stage d. Transition phase 9. 9. The primary side effect of maternal narcotic analgesia in the newborn is: * Mark only one oval. a. tachypnea. b. bradycardia. c. acrocyanosis. d. respiratory depression. 10. 10. A client received 25 mg of meperidine (Demerol) intravenously 1 hour before birth. Which drug should the nurse have readily available? * Mark only one oval. a. Naloxone (Narcan) b. Butorphanol (Stadol) c. Nalbuphine (Nubain) d. Promethazine (Phenergan) 11. 11. The nerve block used in labor that provides anesthesia to the lower vagina and perineum is a(n): * Mark only one oval. a. local. b. epidural. c. pudendal. d. spinal block. 12. 12. A nurse is teaching a childbirth education class. Which information about excessive pain in labor should the nurse include in the session? * Mark only one oval. a. It usually results in a more rapid labor. b. It has no effect on the outcome of labor. c. It is considered to be a normal occurrence. d. It may result in decreased placental perfusion. 13. 13. Which client will most likely have increased anxiety and tension during labor? * Mark only one oval. a. Gravida 2 who refused any medication b. Gravida 2 who delivered a stillborn baby last year c. Gravida 1 who did not attend prepared childbirth classes d. Gravida 3 who has two children younger than 3 years 14. 14. Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation? * Mark only one oval. a. Narcotics b. Spinal block c. Epidural anesthesia d. Breathing and relaxation techniques technique called: * Mark only one oval. a. imagery. b. effleurage. c. distraction. d. dissociation. 17. 16. When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction? * Mark only one oval. a. The medication will be rapidly circulated. b. Less medication will be transferred to the fetus. c. The maternal vital signs will not be adversely affected. d. Full benefit of the medication is received during that contraction. 18. 17. The method of anesthesia in labor that is considered the safest for the fetus is: * Mark only one oval. a. epidural block. b. pudendal block. c. local infiltration. d. spinal ( [Show More]

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