Managing Discomforts In Labor

10 Questions | Total Attempts: 38

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Labor Management Quizzes & Trivia

Chapter 19, Nursing of Women


Questions and Answers
  • 1. 
    Where does physiological pain originate from during labor?
    • A. 

      Visceral pain which comes from the cervix dilating and effacing, uterine distention from T1--> T12, and uterine ischemia

    • B. 

      Somatic pain from stretching of the perineum and pelvic floor and pressure on the bladder and pelvis

    • C. 

      Psychological pain from the distress of child birth.

    • D. 

      Both A and B

  • 2. 
    Expression of pain is NOT
    • A. 

      Emotionally linked

    • B. 

      Related to culture

    • C. 

      Most commonly expressed as increasing anxiety

    • D. 

      The same for all people

  • 3. 
    Factors influencing pain response do not include:
    • A. 

      Her sexual preference

    • B. 

      Culture and religious beliefs

    • C. 

      Gate-control theory of pain

    • D. 

      Physiologic factors like back pain, gynecological history (like dysmenorrhea)

    • E. 

      Lack of education

  • 4. 
    The Gate-Control theory is based on the idea that:
    • A. 

      Pain is related to the amount of people allowed in the delivery room at one time

    • B. 

      Only a limited number of sensations can travel the sensory nerve pathways to the brain at one time

    • C. 

      The size of the cervix and vaginal opening determines the amount of pain the woman will be in

    • D. 

      When in labor, nerve signals to the perineum are cut off completely

  • 5. 
    Effleurage is:
    • A. 

      An auditory distraction technique

    • B. 

      Making an incision in the perineum to allow the fetus to pass through the birth canal

    • C. 

      Putting pressure on the lower back to relieve the pain of back labor

    • D. 

      Light, quick stroking of the abdomen, chest, or thighs, usually in rhythm with breathing or contractions

  • 6. 
    Water therapy (hydrotherapy) can help labor by:
    • A. 

      Inducing catecholamine production and oxytocin levels, increasing dilation and speeding up labor

    • B. 

      Providing comfortable temperature changes for the mother in localized or general areas

    • C. 

      Increase relaxation and provide distraction from labor pains

    • D. 

      Moisturizing the mother's skin which can get dry from the labor process

    • E. 

      A,B and C

  • 7. 
    Transcutaneous electrical nerve stimulation (TENS) is safe to use for pain relief during labor.
    • A. 

      True

    • B. 

      False

  • 8. 
    Sedatives are used:
    • A. 

      Only before a c-section or an epidural due to the effects on the baby

    • B. 

      Never during the childbirth process

    • C. 

      To relieve anxiety and induce sleep in women who are experiencing a prolonged latent phase of labor

    • D. 

      To stop late decelerations, and given during the transitional phase of the first stage of labor

  • 9. 
    These drugs don't relieve pain, but decrease anxiety, increase sedation, and relieve nausea/vomiting
    • A. 

      Penothiazines (Phenergan, Visatril)

    • B. 

      Benzodiazepines (Valium and Ativan)

    • C. 

      Butorphanol (Stadol)

    • D. 

      Morphine

  • 10. 
    Alleviation of sensation of pain or raising the threshold for pain is done by.........
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