EXAM 3 - CHAPTER 8 & 9 - END OF
CLASS REVIEW & STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
A woman had a birth plan with not wanting to have any pain medication and to go
natural, then she gets to the transition phase, and says I'm in pain, and I can't do this
anymore. I need some pain medicine, I changed my mind, I want an epidural. What are
you as a nurse going to do? - Ans--It's the provider's responsibility to speak with the
patient, it is not the nurse's responsibility.
You notify provider of the change of patient's plan. You tell the patient that you will get
the provider and that the provider will come talk with you about your request. We will
also support the woman's decision for how she wants to proceed through her labor.
How can anxiety effect woman's labor - Ans--Anxiety can slow down labor. Help her
relax
When a woman is anxious or apprehensive, she tenses her muscles
•Can slow the labor process
•Decrease the amount of oxygen that reaches the uterus and the fetus
What are your actions to prepare for inserting an epidural?
What is our intervention before a woman gets an epidural? What do we prepare her for?
- Ans--Get an IV in her for fluids.
A 500 to 2000 ml IV fluid bolus before the epidural is started to reduce the risk of
hypotension
•Usually provides excellent pain relief
•A 500 - 2,000 mL IV fluid bolus to reduce the risk of hypotension
•Informed consent
What is a good intervention for lower back pain for the woman? - Ans--Counter pressure
- a nurse or support person use palm of hand to apply counter pressure if woman is
experiencing intense back labor.
What is the initial cause of labor pain? - Ans--cervical changes
If I'm 5'9" and standing next to a 5'2" woman who has a bigger pelvis? - Ans--Can't tell.
, What things can psychologically effect a woman's labor process? - Ans--
Frequency of contractions - Ans--
Duration of contractions - Ans--
Intensity of contractions - Ans--
false labor - Ans--prodromal labor refers to the increase in Braxton Hicks contractions
that occur toward the end of pregnancy. The practice contractions can be quite
uncomfortable making it difficult to distinguish tru labor from "false" labor.
False Labor or Braxton Hicks Contractions
•Come every few minutes but they don't get more frequent over time
•Usually go away with rest
•Usually don't get stronger or painful over time
Braxton Hicks
•Occur more frequently
•Not part of the labor process
•Decrease in intensity with position changes and walking
True Labor Contractions - Ans--•Come every few minutes and get more frequent over
time
•Don't go away even with rest
•Get stronger and more painful over time
True labor versus false labor - Ans--True labor False Labor
progressive dilation and effacement no change
membranes may bulge or rupture. remain intact
regular (may be irregular Pattern tends
at first) pattern develops in which to be irregular,
contractions become increasingly although the
intense and more frequent contractions
may seem to
have a regular
pattern for a
time.
Pain often starts in the small of Pain may be
the back and radiates to the described as a
lower abdomen; may begin tightening
with a cramping sensation. sensation;
CLASS REVIEW & STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
A woman had a birth plan with not wanting to have any pain medication and to go
natural, then she gets to the transition phase, and says I'm in pain, and I can't do this
anymore. I need some pain medicine, I changed my mind, I want an epidural. What are
you as a nurse going to do? - Ans--It's the provider's responsibility to speak with the
patient, it is not the nurse's responsibility.
You notify provider of the change of patient's plan. You tell the patient that you will get
the provider and that the provider will come talk with you about your request. We will
also support the woman's decision for how she wants to proceed through her labor.
How can anxiety effect woman's labor - Ans--Anxiety can slow down labor. Help her
relax
When a woman is anxious or apprehensive, she tenses her muscles
•Can slow the labor process
•Decrease the amount of oxygen that reaches the uterus and the fetus
What are your actions to prepare for inserting an epidural?
What is our intervention before a woman gets an epidural? What do we prepare her for?
- Ans--Get an IV in her for fluids.
A 500 to 2000 ml IV fluid bolus before the epidural is started to reduce the risk of
hypotension
•Usually provides excellent pain relief
•A 500 - 2,000 mL IV fluid bolus to reduce the risk of hypotension
•Informed consent
What is a good intervention for lower back pain for the woman? - Ans--Counter pressure
- a nurse or support person use palm of hand to apply counter pressure if woman is
experiencing intense back labor.
What is the initial cause of labor pain? - Ans--cervical changes
If I'm 5'9" and standing next to a 5'2" woman who has a bigger pelvis? - Ans--Can't tell.
, What things can psychologically effect a woman's labor process? - Ans--
Frequency of contractions - Ans--
Duration of contractions - Ans--
Intensity of contractions - Ans--
false labor - Ans--prodromal labor refers to the increase in Braxton Hicks contractions
that occur toward the end of pregnancy. The practice contractions can be quite
uncomfortable making it difficult to distinguish tru labor from "false" labor.
False Labor or Braxton Hicks Contractions
•Come every few minutes but they don't get more frequent over time
•Usually go away with rest
•Usually don't get stronger or painful over time
Braxton Hicks
•Occur more frequently
•Not part of the labor process
•Decrease in intensity with position changes and walking
True Labor Contractions - Ans--•Come every few minutes and get more frequent over
time
•Don't go away even with rest
•Get stronger and more painful over time
True labor versus false labor - Ans--True labor False Labor
progressive dilation and effacement no change
membranes may bulge or rupture. remain intact
regular (may be irregular Pattern tends
at first) pattern develops in which to be irregular,
contractions become increasingly although the
intense and more frequent contractions
may seem to
have a regular
pattern for a
time.
Pain often starts in the small of Pain may be
the back and radiates to the described as a
lower abdomen; may begin tightening
with a cramping sensation. sensation;
