NRl 327/l NR327l Examl 2:l Maternal-Childl
Nursingl Reviewl (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
painl feltl inl thel backl andl upperl legsl duel tol dilation,l effacement,l andl stretchingl ofl thel
cervix
-l givel sedativesl (opioids)
-l continuousl fetall monitoringl (CFM)l isl al MUSTl whilel givingl painl medicationl
Beforel administeringl painl medication...
-l assessl fetall heartl rate
-l assessl vitall signsl
-l checkl dilation
Answer:
painl inl thel firstl stagel ofl labor
QUESTION
Howl longl beforel expectedl birthl canl al nursel notl administerl opioidsl tol al pregnantl
woman?
Answer:
12-24l hours
QUESTION
Whatl shouldl al nursel dol ifl opioidsl werel justl administeredl al fewl hoursl beforel al motherl
isl aboutl tol givel birth?
Answer:
,Telll thel neonatologistl tol bel onl standbyl tol managel respiratoryl depressionl ofl thel
newbornl whenl delivered.l Theyl willl givel narcanl IMl onl thel thighl tol combatl thel
respiratoryl depression.l Sometimesl 2l dosesl isl needed.
QUESTION
Whyl isl itl importantl tol notl givel opioidsl tol al pregnantl womanl tool closel tol thel timel ofl
delivery?
Answer:
opioidsl canl causel respiratoryl depressionl inl thel newborn
QUESTION
feelingl ofl pressure,l burning,l splitting,l and/orl tearingl inl thel vaginall openingl andl
perineuml duel tol fetall descentl andl expulsion
-l givel pudendall block
Answer:
painl duringl secondl stagel ofl labor
QUESTION
Whenl isl thel bestl timel forl al pudendall blockl andl whatl isl it?
Answer:
Thel bestl timel forl itl isl inl thel secondl stagel ofl laborl 10l tol 20l minutesl beforel birth.l Itl
isl lidocainel thatl isl usedl tol numbl thel mother'sl perineall areal whilel anl episiotomyl isl
donel andl suturesl forl itl afterl thel babyl isl delivered.
QUESTION
painl (contractions,l pressurel andl pulling)l withl expulsionl ofl thel placental
-l pudendall blockl givenl inl thel secondl stagel isl stilll inl effect
Answer:
,painl duringl thel thirdl stagel ofl labor
QUESTION
-l painl causedl byl stretchingl ofl thel vaginal andl perineuml injuriesl duringl thel secondl stagel
ofl labor
-l painl froml lacerationl repair
-l painl froml fundall massagel
-l painl froml contractionsl whilel breastfeedingl
-l tylenol
-l toradol
-l morphine
-l hydrocodone
Answer:
painl duringl thel fourthl stagel ofl labor
QUESTION
Whyl doesl breastfeedingl causel contractions?
Answer:
breastfeedingl releasesl oxytocinl whichl causesl contractions
QUESTION
Howl doesl al nursel reducel anxietyl inl al patientl inl labor?
Answer:
educatel onl everythingl andl promotel relaxation
QUESTION
Whenl shouldl non-pharmacologicall optionsl bel encouragedl inl labor?
Answer:
inl earlyl labor
, QUESTION
invasivel painl managementl optionl thatl isl administeredl duringl activel labor
Adversel effects:
-l afterl epidurall isl removed,l al headachel canl occurl
-l hypotensionl
-l fetall bradycardia
-l lossl ofl bearingl downl reflex
-l inabilityl tol feell urgel tol voidl
Nursingl considerations:
-l informedl consentl isl neededl
-l patientl mustl bel givenl 500/1000mll ofl fluidl bolusl BEFOREl epidurall
-l patientl mustl bel inl uprightl positionl
-l telll familyl membersl tol stopl outl ofl thel rooml beforel administeringl
-l continuousl monitoringl ofl patientsl BPl everyl 5l minutesl minutesl forl thel firstl 20l
minutesl
-l continuousl fetall monitoring
-l foleyl catheterl
Ifl bloodl pressurel dropsl andl FHRl isl lessl thanl 110...
-l administerl oxygen
-l increasel fluids
-l sidel lyingl position
-l IVl vasopressorl (epehdrine)
Answer:
epidural
QUESTION
invasivel painl managementl optionl forl al scheduledl cl sectionl
Adversel effects:
-l afterl catheterl isl removed,l al headachel canl occurl
-l hypotension
-l fetall bradycardia
Nursingl Reviewl (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
painl feltl inl thel backl andl upperl legsl duel tol dilation,l effacement,l andl stretchingl ofl thel
cervix
-l givel sedativesl (opioids)
-l continuousl fetall monitoringl (CFM)l isl al MUSTl whilel givingl painl medicationl
Beforel administeringl painl medication...
-l assessl fetall heartl rate
-l assessl vitall signsl
-l checkl dilation
Answer:
painl inl thel firstl stagel ofl labor
QUESTION
Howl longl beforel expectedl birthl canl al nursel notl administerl opioidsl tol al pregnantl
woman?
Answer:
12-24l hours
QUESTION
Whatl shouldl al nursel dol ifl opioidsl werel justl administeredl al fewl hoursl beforel al motherl
isl aboutl tol givel birth?
Answer:
,Telll thel neonatologistl tol bel onl standbyl tol managel respiratoryl depressionl ofl thel
newbornl whenl delivered.l Theyl willl givel narcanl IMl onl thel thighl tol combatl thel
respiratoryl depression.l Sometimesl 2l dosesl isl needed.
QUESTION
Whyl isl itl importantl tol notl givel opioidsl tol al pregnantl womanl tool closel tol thel timel ofl
delivery?
Answer:
opioidsl canl causel respiratoryl depressionl inl thel newborn
QUESTION
feelingl ofl pressure,l burning,l splitting,l and/orl tearingl inl thel vaginall openingl andl
perineuml duel tol fetall descentl andl expulsion
-l givel pudendall block
Answer:
painl duringl secondl stagel ofl labor
QUESTION
Whenl isl thel bestl timel forl al pudendall blockl andl whatl isl it?
Answer:
Thel bestl timel forl itl isl inl thel secondl stagel ofl laborl 10l tol 20l minutesl beforel birth.l Itl
isl lidocainel thatl isl usedl tol numbl thel mother'sl perineall areal whilel anl episiotomyl isl
donel andl suturesl forl itl afterl thel babyl isl delivered.
QUESTION
painl (contractions,l pressurel andl pulling)l withl expulsionl ofl thel placental
-l pudendall blockl givenl inl thel secondl stagel isl stilll inl effect
Answer:
,painl duringl thel thirdl stagel ofl labor
QUESTION
-l painl causedl byl stretchingl ofl thel vaginal andl perineuml injuriesl duringl thel secondl stagel
ofl labor
-l painl froml lacerationl repair
-l painl froml fundall massagel
-l painl froml contractionsl whilel breastfeedingl
-l tylenol
-l toradol
-l morphine
-l hydrocodone
Answer:
painl duringl thel fourthl stagel ofl labor
QUESTION
Whyl doesl breastfeedingl causel contractions?
Answer:
breastfeedingl releasesl oxytocinl whichl causesl contractions
QUESTION
Howl doesl al nursel reducel anxietyl inl al patientl inl labor?
Answer:
educatel onl everythingl andl promotel relaxation
QUESTION
Whenl shouldl non-pharmacologicall optionsl bel encouragedl inl labor?
Answer:
inl earlyl labor
, QUESTION
invasivel painl managementl optionl thatl isl administeredl duringl activel labor
Adversel effects:
-l afterl epidurall isl removed,l al headachel canl occurl
-l hypotensionl
-l fetall bradycardia
-l lossl ofl bearingl downl reflex
-l inabilityl tol feell urgel tol voidl
Nursingl considerations:
-l informedl consentl isl neededl
-l patientl mustl bel givenl 500/1000mll ofl fluidl bolusl BEFOREl epidurall
-l patientl mustl bel inl uprightl positionl
-l telll familyl membersl tol stopl outl ofl thel rooml beforel administeringl
-l continuousl monitoringl ofl patientsl BPl everyl 5l minutesl minutesl forl thel firstl 20l
minutesl
-l continuousl fetall monitoring
-l foleyl catheterl
Ifl bloodl pressurel dropsl andl FHRl isl lessl thanl 110...
-l administerl oxygen
-l increasel fluids
-l sidel lyingl position
-l IVl vasopressorl (epehdrine)
Answer:
epidural
QUESTION
invasivel painl managementl optionl forl al scheduledl cl sectionl
Adversel effects:
-l afterl catheterl isl removed,l al headachel canl occurl
-l hypotension
-l fetall bradycardia
