NUR 223 Nursing Management During Labor and Birth
Labor and Birth (Q&A)
The nurse is preparing to admit a woman in labor. The nurse notices on the
... [Show More] prenatal
record that the fetus is in an occiput posterior position. This position means the woman
may have
A. a shorter labor
B. a less painful labor
C. more back pain with the labor
D. more pain in the upper region of the uterus
C. more back pain with the labor
The nurse is preparing to admit a woman in labor. The nurse notices on the prenatal
record that the fetus is in an occiput posterior position. This position means the woman
may have:
A. an epidural
B. a massage
C. teaching the pattern-placed breathing technique
D. nothing is available for this stage of labor
B. a massage
Prior to a woman's receiving an epidural block during labor, an important nursing
measure is to administer at least 500 mL of lactated Ringer's solution. The rationale
behind this nursing measure is to
A. Ensure hydration of the woman because she will not be able to take anything by
mouth until the block wears off
B. Ensure the intravenous route is patent in case emergency medications are indicated
after the epidural block is given
C. Fill the vascular system with fluid to prevent hypotension due to vasodilation
D. Hydrate the fetus prior to the epidural block to prevent hypoxia
C. Fill the vascular system with fluid to prevent hypotension due to vasodilation
An important nursing intervention after a woman in labor has had an epidural block is to
A. monitor the woman's bladder
B. monitor bowel sounds
C. decrease IV fluids to prevent fluid overload
D. turn her from side-to-side every 2 hours
A. monitor the woman's bladder
After a cesarean section, the woman received a dose of an epidural opioid. Two hours
later the nurse is assessing the woman and noted she was rubbing her face and neck
and complaining of itching. The nurse's next action should be to
A. notify the anesthesiologist
B. prepare for a respiratory emergency due to the opioid
C. prepare for an allergic reaction to the opioid
D. administer a prescribed medication to relieve the itching
D. administer a prescribed medication to relieve the itching
When administering intravenous opioids to a laboring woman, the nurse should give the
medication at the ___________ of the contraction.
Beginning
Excessive anxiety during labor heightens the woman's sensitivity to pain by increasing
A. muscle tension
B. blood flow to the uterus
C. the pain threshold
D. rest time between contractions
A. muscle tension
The best time to teach nonpharmacologic pain control methods to an unprepared
laboring woman is during the ___________ phase.
Latent
A woman received 25 mg of meperidine (Demerol) intravenously 1 hour before delivery.
What drug should the nurse have readily available at delivery?
A. Promethazine (Phenergan)
B. Nalbuphine (Nubain)
C. Butorphanol (Stadol)
D. Naloxone (Narcan)
D. Naloxone (Narcan)
The most important nursing intervention for the woman who has received an epidural
narcotic is
A. monitoring respiratory rate hourly
B. administering analgesics as needed
C. monitoring blood pressure every 4 hours
D. assessing the level of anesthesia [Show Less]