Introduction vto vMaternity vAnd
vPediatric vNursing, v7th vEdition vby
vGloria vLeifer –
vTest vBank
Chapter v07: vNursing vManagement vof vPain vDuring vLabor vand vBirth
MULTIPLE vCHOICE
1. A vnurse vis vteaching va vchildbirth vpreparation vclass. vThe vgroup vis vdiscussing
vindividual vexpression v of vlabor vpain. vWhat vstatement vis vaccurate vabout va
vpatient’s vexpression vof vpain?
,a. It vreduces vthe vpatient’s vperception vof vpain.
b. It vis vintensified vby vthe vvertex vposition vof vthe vfetus.
c. It vis vinfluenced vby vculture.
d. It vcan vbe vcompletely vcontrolled vby vnonpharmacological
vtechniques.
ANS: vC
Culture vinfluences vhow vwomen vfeel vabout vbirth vand vwhat vis van vacceptable
vresponse vto vpain.
DIF: Cognitive vLevel: vComprehension v v vREF: v v vPage v161
OBJ: v v 3 v TOP: v v Cultural vInfluences von vPain
KEY: v Nursing vProcess vStep: vN/A v MSC: v vNCLEX:
vPhysiological vIntegrity: vPhysiological vAdaptation
2. What vchemical vsubstance(s) vproduced vin vthe vbody vacts vas va vnatural vpain
vreliever?
a. Endorphins
b. Morphine
c. Codeine
d. Atropine
ANS: v vA
Endorphins vare vnatural vbody vsubstances vthat vare vsimilar vto vmorphine vand
vmay vexplain vwhy v laboring vwomen vneed vsmaller vdoses vof vanalgesia.
,DIF: Cognitive vLevel: vKnowledge REF: v v vPage v160
OBJ: v v 1 v TOP: v v vEndorphins KEY:
v Nursing vProcess vStep: vN/A
MSC: v vNCLEX: vPhysiological vIntegrity: vPhysiological vAdaptation
3. A vnurse vinstructs va vwoman’s vlabor vcoach vto vcomfort vher vby vfirmly vpressing
von vher vlower vback. v What vis vthis vtechnique?
a. Sacral vpressure
b. Distraction
c. Effleurage
d. Conscious vrelaxation
ANS: v vA
Sacral vpressure vrefers vto vfirm vpressure vagainst vthe vlower vback vto vrelieve
vsome vof vthe vpain vof vback v labor.
DIF: v v v Cognitive vLevel: vKnowledge v v vREF: v v
vPage v160, vBox v7-1 v OBJ: v v v6 TOP:
vNonpharmacological vPain vManagement v KEY: v Nursing
vProcess vStep: vImplementation
MSC: v vNCLEX: vPhysiological vIntegrity: vBasic vCare vand vComfort
4. A vwoman vwho vis v6 vcm vdilated vhas vthe vurge vto vpush. vWhat vwill vthe
vnurse vinstruct vthe vwoman vto v do vduring vthe vcontraction?
, a. Use vslow-paced vbreathing.
b. Hold vher vbreath vand
vpush.
c. Blow vin vshort vbreaths.
d. Use vrapid-paced
vbreathing.
ANS: vC
If va vlaboring vwoman vfeels vthe vurge vto vpush vbefore vthe vcervix vis vfully
vdilated, vthen vshe vis vtaught vto v blow vin vshort vbreaths vto vavoid vbearing
vdown.
DIF: Cognitive vLevel: vApplication REF: v v vPage v163 OBJ: v v v4
TOP: v v vStair-Step vBreathing vPattern KEY: v vNursing vProcess vStep:
vImplementation v MSC: v vNCLEX: vPhysiological vIntegrity: vPhysiological
vAdaptation
5. Several vhours vinto vlabor, va vwoman vcomplains vof vdizziness, vnumbness, vand
vtingling vof vher vhands v and vmouth. vWhat vdoes vthe vnurse vrecognize vthese
vsymptoms vsignify?
a. Hypertension
b. Anxiety
c. Anoxia
d. Hyperventilation
ANS: v vD
Hyperventilation vis vsometimes va vproblem vif va vwoman vis vbreathing vrapidly.
vPediatric vNursing, v7th vEdition vby
vGloria vLeifer –
vTest vBank
Chapter v07: vNursing vManagement vof vPain vDuring vLabor vand vBirth
MULTIPLE vCHOICE
1. A vnurse vis vteaching va vchildbirth vpreparation vclass. vThe vgroup vis vdiscussing
vindividual vexpression v of vlabor vpain. vWhat vstatement vis vaccurate vabout va
vpatient’s vexpression vof vpain?
,a. It vreduces vthe vpatient’s vperception vof vpain.
b. It vis vintensified vby vthe vvertex vposition vof vthe vfetus.
c. It vis vinfluenced vby vculture.
d. It vcan vbe vcompletely vcontrolled vby vnonpharmacological
vtechniques.
ANS: vC
Culture vinfluences vhow vwomen vfeel vabout vbirth vand vwhat vis van vacceptable
vresponse vto vpain.
DIF: Cognitive vLevel: vComprehension v v vREF: v v vPage v161
OBJ: v v 3 v TOP: v v Cultural vInfluences von vPain
KEY: v Nursing vProcess vStep: vN/A v MSC: v vNCLEX:
vPhysiological vIntegrity: vPhysiological vAdaptation
2. What vchemical vsubstance(s) vproduced vin vthe vbody vacts vas va vnatural vpain
vreliever?
a. Endorphins
b. Morphine
c. Codeine
d. Atropine
ANS: v vA
Endorphins vare vnatural vbody vsubstances vthat vare vsimilar vto vmorphine vand
vmay vexplain vwhy v laboring vwomen vneed vsmaller vdoses vof vanalgesia.
,DIF: Cognitive vLevel: vKnowledge REF: v v vPage v160
OBJ: v v 1 v TOP: v v vEndorphins KEY:
v Nursing vProcess vStep: vN/A
MSC: v vNCLEX: vPhysiological vIntegrity: vPhysiological vAdaptation
3. A vnurse vinstructs va vwoman’s vlabor vcoach vto vcomfort vher vby vfirmly vpressing
von vher vlower vback. v What vis vthis vtechnique?
a. Sacral vpressure
b. Distraction
c. Effleurage
d. Conscious vrelaxation
ANS: v vA
Sacral vpressure vrefers vto vfirm vpressure vagainst vthe vlower vback vto vrelieve
vsome vof vthe vpain vof vback v labor.
DIF: v v v Cognitive vLevel: vKnowledge v v vREF: v v
vPage v160, vBox v7-1 v OBJ: v v v6 TOP:
vNonpharmacological vPain vManagement v KEY: v Nursing
vProcess vStep: vImplementation
MSC: v vNCLEX: vPhysiological vIntegrity: vBasic vCare vand vComfort
4. A vwoman vwho vis v6 vcm vdilated vhas vthe vurge vto vpush. vWhat vwill vthe
vnurse vinstruct vthe vwoman vto v do vduring vthe vcontraction?
, a. Use vslow-paced vbreathing.
b. Hold vher vbreath vand
vpush.
c. Blow vin vshort vbreaths.
d. Use vrapid-paced
vbreathing.
ANS: vC
If va vlaboring vwoman vfeels vthe vurge vto vpush vbefore vthe vcervix vis vfully
vdilated, vthen vshe vis vtaught vto v blow vin vshort vbreaths vto vavoid vbearing
vdown.
DIF: Cognitive vLevel: vApplication REF: v v vPage v163 OBJ: v v v4
TOP: v v vStair-Step vBreathing vPattern KEY: v vNursing vProcess vStep:
vImplementation v MSC: v vNCLEX: vPhysiological vIntegrity: vPhysiological
vAdaptation
5. Several vhours vinto vlabor, va vwoman vcomplains vof vdizziness, vnumbness, vand
vtingling vof vher vhands v and vmouth. vWhat vdoes vthe vnurse vrecognize vthese
vsymptoms vsignify?
a. Hypertension
b. Anxiety
c. Anoxia
d. Hyperventilation
ANS: v vD
Hyperventilation vis vsometimes va vproblem vif va vwoman vis vbreathing vrapidly.
