Chapter 07: Nursing Management of Pain During Labor and Birth

Chapter 07: Nursing Management of Pain During Labor and Birth

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient’s expression of pain?

ANS:  C

Culture influences how women feel about birth and what is an acceptable response to pain.

DIF:    Cognitive Level: Comprehension     REF:   Page 161        OBJ:   3

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?

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 160        OBJ:   1

TOP:   Endorphins     KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

3. A nurse instructs a woman’s labor coach to comfort her by firmly pressing on her lower back. What is this technique?

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 160, Box 7-1

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?

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 163        OBJ:   4

TOP:   Stair-Step Breathing Pattern             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

5. Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?

ANS:  D

Hyperventilation is sometimes a problem if a woman is breathing rapidly.

DIF:    Cognitive Level: Comprehension     REF:   Page 164, Box 7-2

OBJ:   4                    TOP:   Hyperventilation

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease