Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 18: Pain Management for Childbirth Verified 2024 Practice Questions
... [Show More] and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ Childbirth preparation can be considered successful if the outcome is described as follows: a. Labor and delivery were pain-free. b. The woman’s partner participated eagerly. c. The woman rehearsed labor and practiced skills to master pain. d. Only nonpharmacologic methods for pain control were used. ANS: C Preparation allows the woman to rehearse for labor and to learn new skills to cope with the pain of labor and the expected behavioral changes. Childbirth preparation does not guarantee a pain-free labor. A woman should be prepared for pain and anesthesia/analgesia realistically. The partner’s role and participation level should be established by the couple. Women will not always achieve their desired level of pain control by using nonpharmacologic methods alone. PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF: p. 356 OBJ: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 2. In order to help patients manage discomfort and pain during labor, nurses should be aware that a. the predominant pain of the first stage of labor is the visceral pain located in the lower portion of the abdomen. b. somatic pain is the extreme discomfort between contractions. c. the somatic pain of the second stage of labor is more generalized and related to fatigue. d. pain during the third stage is a somewhat milder version of the second stage. ANS: A This pain comes from cervical changes, distention of the lower uterine segment, and uterine ischemia. Somatic pain is a faster, sharp pain. Somatic pain is most prominent during late first-stage labor and during second-stage labor as the descending fetus puts direct pressure on maternal tissues. Second-stage labor pain is intense, sharp, burning, and localized. Third- stage labor pain is similar to that of the first stage. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 355 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance [Show Less]