Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
1. 1. An 18-year-old pregnant
D
woman, gravida 1, para 0, is
(Each womans pain during childbirth is unique
ad- mitted to the labor and
and is influenced by a variety of physiologic,
birth unit with moderate
psychosocial, and environmental factors. A critical
contractions every
issue for the nurse is
5 minutes that last 40 seconds. The how support can make a ditterence in the
pain of the
client states, My contractions are woman during labor and birth. This scenario
includes no
so strong, I dont know what to do. information that would indicate fetal distress or
a logical
Before making a plan of care, what reason to be overly concerned about the well-
being of
should the nurses first action 2. 2. A woman who is pregnant
for the first time is dilated 3
be? a. cm and having contractions
every 5 min- utes. She is
Assess for fetal well- groaning and perspir-
being. b.
Encourage the woman to lie on
her side.
c.
Disturb the woman as little as
pos- sible.
d.
Recognize that pain is
personal- ized for each
individual.
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
the fetus. The left lateral position is used to alleviate
fetal distress, not maternal stress. The nurse has an
obligation to provide physical, emotional, and
psychosocial care and support to the laboring
woman. This client clearly needs support.)
D
(By reducing tension and stress, both focusing
and re- laxation techniques will allow the woman in
labor to rest and conserve energy for the task of
giving birth. For
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
ing excessively; she states that she those who have had no preparation,
instruction in simple
did not attend childbirth breathing and relaxation can be given in early
classes. What is the optimal labor and is often successful. The nurse can
intervention for the nurse independently perform many functions in labor
to provide at this time? and birth, such as teaching and support. Pain
medication may be an option for this client.
a.
However, the initial response of the nurse should
Notify the womans health care include teaching the client about her options. The
provider. length of labor varies among individuals, but the
first stage of labor is the longest. At 3 cm of
b. dilation with contractions every 5 minutes, this
woman has a significant amount of labor yet to
Administer the prescribed experience.)
narcotic analgesic.
c.
Assure her that her labor
will be over soon.
d.
Assist her with simple
breathing and relaxation
instructions.
3. 3. Nursing care measures are com- A
monly offered to women in a.
labor. Which nursing
measure reflects the
application of the gate-control
theory?
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
According to the gate-control theory, pain sensations
travel along sensory nerve pathways to the
brain, but only a limited number of sensations,
or messages, can travel through these nerve
pathways at one time. Dis- traction techniques,
such as massage or stroking, music, focal points,
and imagery, reduce or completely block the
Woman Final Exam Prep .
1. 1. An 18-year-old pregnant
D
woman, gravida 1, para 0, is
(Each womans pain during childbirth is unique
ad- mitted to the labor and
and is influenced by a variety of physiologic,
birth unit with moderate
psychosocial, and environmental factors. A critical
contractions every
issue for the nurse is
5 minutes that last 40 seconds. The how support can make a ditterence in the
pain of the
client states, My contractions are woman during labor and birth. This scenario
includes no
so strong, I dont know what to do. information that would indicate fetal distress or
a logical
Before making a plan of care, what reason to be overly concerned about the well-
being of
should the nurses first action 2. 2. A woman who is pregnant
for the first time is dilated 3
be? a. cm and having contractions
every 5 min- utes. She is
Assess for fetal well- groaning and perspir-
being. b.
Encourage the woman to lie on
her side.
c.
Disturb the woman as little as
pos- sible.
d.
Recognize that pain is
personal- ized for each
individual.
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
the fetus. The left lateral position is used to alleviate
fetal distress, not maternal stress. The nurse has an
obligation to provide physical, emotional, and
psychosocial care and support to the laboring
woman. This client clearly needs support.)
D
(By reducing tension and stress, both focusing
and re- laxation techniques will allow the woman in
labor to rest and conserve energy for the task of
giving birth. For
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
ing excessively; she states that she those who have had no preparation,
instruction in simple
did not attend childbirth breathing and relaxation can be given in early
classes. What is the optimal labor and is often successful. The nurse can
intervention for the nurse independently perform many functions in labor
to provide at this time? and birth, such as teaching and support. Pain
medication may be an option for this client.
a.
However, the initial response of the nurse should
Notify the womans health care include teaching the client about her options. The
provider. length of labor varies among individuals, but the
first stage of labor is the longest. At 3 cm of
b. dilation with contractions every 5 minutes, this
woman has a significant amount of labor yet to
Administer the prescribed experience.)
narcotic analgesic.
c.
Assure her that her labor
will be over soon.
d.
Assist her with simple
breathing and relaxation
instructions.
3. 3. Nursing care measures are com- A
monly offered to women in a.
labor. Which nursing
measure reflects the
application of the gate-control
theory?
, Lowdermilk Chapter 17: Maximizing Comfort for the Laboring
Woman Final Exam Prep .
According to the gate-control theory, pain sensations
travel along sensory nerve pathways to the
brain, but only a limited number of sensations,
or messages, can travel through these nerve
pathways at one time. Dis- traction techniques,
such as massage or stroking, music, focal points,
and imagery, reduce or completely block the
