ATI Maternal Newborn Nursing Ch. 12 Questions with correct answers

(1st Stage) Causes of Internal visceral pain that can be felt as back and leg pain. Correct Answer - -Dilation, effacement, and stretching of the cervix. -Distention of the lower segment of the uterus. -Contractions of the uterus with resultant uterine ischemia. (2nd Stage) Causes of Pain that is somatic and occurs with fetal descent and expulsion. Correct Answer - -Pressure and distention of the vagina and the perineum, described by the client as burning, splitting, and tearing -Pressure and pulling on the pelvic structures (ligaments, fallopian tubes, ovaries, bladder, and peritoneum) -Lacerations of soft tissues (cervix, vagina, and perineum) (3rd Stage) Causes of Pain with the expulsion of the placenta is similar to pain experienced during the first stage. Correct Answer - -uterine contractions -pressure and pulling of pelvic structures (4th Stage) Causes of pain Correct Answer - Pain is caused by distention and stretching of the vagina and perineum incurred during the second stage with a splitting, burning, and tearing sensation. Indications of pain during labor Correct Answer - -behavioral manifestations (crying, moaning, screaming, gesturing, writhing, avoidance, withdrawal, inability to follow instructions) -Increasing blood pressure, tachycardia, and hyperventilation. -Nausea and vomiting with an increase in gastric acidity.