Chapter 8 Nursing Management of Pain During Labor and Birth - Leifer Maternity and Pediatric Nursing

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Chapter 8 Nursing Management of Pain During Labor and Birth - Leifer Maternity and Pediatric Nursing NURSINGTB.COM 1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patients expression of pain? a. It reduces the patients perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled by nonpharmacological techniques. ANS: C Culture influences how women feel about birth and what is an acceptable response to pain. DIF: Cognitive Level: Comprehension REF: Page 168 TOP: Cultural Influences on Pain KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. What chemical substance(s) produced in the body acts as a natural pain reliever? a. Endorphins b. Morphine c. Codeine d. Atropine ANS: A Endorphins are natural body substances that are similar to morphine and may explain why laboring women need smaller doses of analgesia. DIF: Cognitive Level: Knowledge REF: Page 167 TOP: Endorphins KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. A nurse instructs a womans labor coach to comfort her by firmly pressing on her lower back. What is this technique? a. Sacral pressure b. Distraction c. Effleurage d. Conscious relaxation ANS: A Sacral pressure refers to firm pressure against the lower back to relieve some of the pain of back labor. DIF: Cognitive Level: Knowledge REF: Page 167 OBJ: 6 TOP: Nonpharmacological Pain Management KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 4. A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction? a. Use slow-paced breathing. b. Hold her breath and push. c. Blow in short breaths. d. Use rapid-paced breathing. ANS: C If a laboring woman feels the urge to push before the cervix is fully dilated, then she is taught to blow in short breaths to avoid bearing down. DIF: Cognitive Level: Application REF: Page 170

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