Review Nursing Interventions for Pain Management During Labor

Pain Management During Labor > Maternal & Newborn

Exam Review

Nursing Interventions for Pain Management During Labor

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 5

Showing 5 questions, Sign in for more

Question 1:

A nurse is assessing a client’s pain during labor using a numerical rating scale.

The client reports a pain level of 8 out of 10.

What is the nurse’s priority action?

A. Administer a prescribed analgesic medication. B. Provide nonpharmacologic methods of pain relief. C. Reassess the pain level after 15 minutes. D. Notify the health care provider of the pain level.

Answer and Explanation

Choice A:

administering a prescribed analgesic medication may not be the best option for a woman who reports a pain level of 8 out of 10.Analgesic medications have side effects and risks for both the mother and the fetus, and may interfere with the progress of labor

Choice B:

According to the article by Carvalho and Mhyre, pain scales such as the numerical rating scale are unidimensional and lack many characteristics of an ideal psychometric pain instrument in a labor setting.

Choice C:

reassessing the pain level after 15 minutes may not be helpful or realistic for a woman who is experiencing intense pain

Choice D:

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

A nurse is educating a client about nonpharmacologic methods of pain management during labor.

Which of the following statements by the client indicates an understanding of the teaching?

A. “I can use aromatherapy to stimulate my senses and distract me from the pain.” B. “I can use effleurage to apply deep pressure on my abdomen during contractions.” C. “I can use hypnosis to make me forget about the pain completely.” D. “I can use hydrotherapy to increase my blood pressure and heart rate.”

Answer and Explanation

Choice A:

Aromatherapy is a nonpharmacologic method of pain management during labor that uses scented oils or candles to stimulate the senses and distract the woman from the pain.Aromatherapy can also help reduce anxiety and stress during labor.

Choice B:

effleurage is a massage technique that involves light stroking of the skin, not deep pressure on the abdomen.Effleurage can help relax the muscles and increase blood circulation during labor.

Choice C:

hypnosis does not make the woman forget about the pain completely, but rather helps her enter a state of deep relaxation and focused attention that can reduce the perception of pain.Hypnosis can also help with breathing and coping skills during labor.

Choice D:

hydrotherapy is the use of water in baths, showers, or pools to help ease the pain and discomfort of labor.Hydrotherapy can help reduce muscle tension, lower blood pressure, and increase endorphins during labor.Hydrotherapy does not increase blood pressure and heart rate, but rather has the opposite effect.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A nurse is administering an epidural analgesia to a client in labor.

Which of the following actions should the nurse take?

A. Ensure informed consent is obtained from the client. B. Position the client in a supine position with a pillow under her head. C. Inject a test dose of lidocaine into the epidural space. D. Monitor the fetal heart rate continuously for 5 minutes after administration.

Answer and Explanation

Choice B:

the client should be positioned in a sitting or lateral position, not supine, to avoid aortocaval compression and facilitate the insertion of the epidural needle.

Choice C:

a test dose of lidocaine is injected into the intrathecal space, not the epidural space, to rule out accidental spinal puncture.

Choice D:

the fetal heart rate should be monitored continuously for 15 to 20 minutes after administration, not 5 minutes, to assess for any adverse effects on the fetus.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

A nurse is evaluating a client’s satisfaction with pain management during labor.

Which of the following tools should the nurse use?

A. Visual analog scale B. Behavioral observation scale C. Wong-Baker FACES scale D. McGill Pain Questionnaire

Answer and Explanation

Choice A:

visual analog scaleis a pain assessment tool that uses a 100-mm long line, from 0 (no pain) to 100 (worst pain imaginable), to rate pain intensity.The patient marks a point on the line that corresponds to their pain level.

Choice B:

behavioral observation scaleis a pain assessment tool that uses standardized observational ratings of the patient’s behavioral manifestations of pain, such as facial expressions, vocalizations, body movements, and interactions.

Choice C:

This is a pain assessment tool that combines pictures and numbers for pain ratings.

It can be used in adults and children over age 3.

Six faces depict different expressions, ranging from happy to extremely upset.

Choice D:

McGill Pain Questionarieis a pain assessment tool that uses words to describe the sensory, affective, and evaluative aspects of pain.The patient selects words from different categories that match their pain experience.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

A nurse is providing continuous labor support to a client in labor.

Which of the following actions should the nurse take? (Select all that apply.).

A. Encourage the client to drink clear fluids and ice chips. B. Assist the client with ambulation and position changes. C. Perform vaginal examinations every hour. D. Provide feedback and reinforcement to the client and her partner. E. Massage the client’s back and shoulders during contractions.

Answer and Explanation

Choice A:

Choice B:

Choice C:

performing vaginal examinations every hour is not necessary and may increase the risk of infection. Vaginal examinations should be done initially and then not more often than every 4 hours, unless necessary. Vaginal examinations can also be uncomfortable, painful, and distressing for the client. Therefore, the nurse should avoid routine vaginal examinations and use other methods to assess labor progress, such as ultrasound, maternal behavior, or external physical signs.

Choice D:

Choice E:

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 5 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Exam Review

Nursing Interventions for Pain Management During Labor Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 5

Sign Up or Login to view all the 5 Questions on this Exam

Nursing Interventions for Pain Management During Labor

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy