QUIZ209 NURSING MANAGEMENT DURING LABOR AND BIRTHQuestion 1See full question7m 29sReport this QuestionThe nurse tests the pH of fluid found on the vaginal exam and determines that the woman's membranes have ruptured based on which result? Show
Explanation:Reference:Ricci, S. S., Kyle, T., & Carman, S.,Maternity and Pediatric Nursing, 4thed., Philadelphia, Wolters Kluwer, 2021, Chapter 14: Nursing Management DuringLabor and Birth, MATERNAL ASSESSMENT DURING LABOR AND BIRTH, p. 468.Chapter 14: Nursing Management During Labor and Birth - Page 468Add a NoteQuestion 2See full question1m 59sReport this Question A client who requested “no drugs” in labor asks the nurse what other options are available for pain relief. The nurse reviews several options for nonpharmacologicpain relief, and the client thinks effleurage may help her manage the pain. This indicates that the nurse will: Explanation:Reference:Ricci, S. S., Kyle, T., & Carman, S.,Maternity and Pediatric Nursing, 4thed., Philadelphia, Wolters Kluwer, 2021, Chapter 14: Nursing Management DuringLabor and Birth, PROMOTING COMFORT AND PROVIDING PAIN MANAGEMENT DURING LABOR, pp. 483-486.Chapter 14: Nursing Management During Labor and Birth - Page 483-486Add a NoteQuestion 3See full question2mReport this QuestionA client asks her nurse what effleurage means. After instruction is given, the nurse determines learning has taken place when the client states: Explanation:Reference:Ricci, S. S., Kyle, T., & Carman, S.,Maternity and Pediatric Nursing, 4thed., Philadelphia, Wolters Kluwer, 2021, Chapter 14: Nursing Management DuringLabor and Birth, PROMOTING COMFORT AND PROVIDING PAIN MANAGEMENT DURING LABOR, p. 486.Chapter 14: Nursing Management During Labor and Birth - Page 486Add a Note Labor is one of the most intense experiences that a mother would have to encounter before she could glimpse her angel. The pain may seep through her bones, but all of these would be forgotten the moment she touches her infant. These are the moments that show that pain could be conquered ultimately by love.
Etiology and Physiology of Pain
Comfort MeasuresRelaxation
Focusing and Imagery
Prayer
Breathing Techniques
Herbal Preparations
Heat or Cold Application
Therapeutic Touch and Massage
Pharmacologic MeasuresNarcotic Analgesics
Regional Anesthesia
Local Anesthesia
The types of pain relief during labor and birth vary widely, and it is up to the woman if she would want to employ these measures during the right time. Proper education and information from the healthcare providers is a must so that the couple could make the right decision when it comes to the procedures and measures that they would want during labor and birth. Practice Quiz: Labor & Delivery Pain ManagementQuiz time! Here are five questions about the topic: Comfort and Pain Management During Labor and Delivery. 1. Why are uterine contractions considered unique to the human body? A. They progress as time stretches by. 2. What contributes mostly to the pain during birth? A. The stretching of the perineal
tissue. 3. Which of the following is not a nonpharmacologic measure? A. Breathing techniques 4. Which of the following is most helpful during the first and second stages of labor? A. Prayers 5. What is the effect of Meperidine (demerol) to the fetus? A. Respiratory depression Answers and Rationale 1. Answer: C. The involuntary muscles do not usually have pain upon contraction. Involuntary muscles such as the heart and stomach do not suffer pain during contraction of the muscles. 2. Answer: A. The stretching of the perineal tissue. A, because the perineal tissue is stretched widely during birth which gives great pain to the woman. 3. Answer: B. Pudendal nerve block B, pudendal nerve block is a pharmacologic measure used to relieve pain during labor and birth. 4. Answer: B. Massage B, massage helps relieve pain through the release of endorphins by touch. 5. Answer: A. Respiratory depression A, meperidine can cross the placenta and can cause respiratory depression to the fetus. Which positions promote comfort when a client is in active back labor?Ideal Positions for Reducing Back Labor Pain. Leaning while Standing.. Leaning while Kneeling.. Hands & Knees/On All Fours.. Supported by Water/Birth Tub.. Backward Chair Sitting.. Slow Dancing.. Standing/Kneeling Asymmetrical Lunge.. Which action is a priority when caring for a client during the fourth stage of labor?Stage 4 of Labor
Goal: monitor mother's health status after birth due to risk for hemorrhage, infection (retaining placenta), and uterine atony etc. Monitoring vital signs (especially blood pressure and heart rate due to risk of hemorrhage and an increased temperature due to risk of infection).
Which nursing action is required before a client in labor receives an epidural?Epidural anesthesia may cause hypotension. Therefore, the nurse should ensure that the client is well hydrated before epidural administration.
Which nursing action should be initiated first when there is evidence of prolapsed cord?If prolapse cord is identified, notify the physician and prepare for emergency cesarean birth. If the client is fully dilated, the most emergent delivery route may be vaginal.
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