Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer – Test Bank

Chapter 07: Nursing Management of Pain During Labor and Birth 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? a. It reduces the patient’s 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 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? 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 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? 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 160, Box 7-1 OBJ: 6 TOP: Nonpharmacological Pain Management KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort