NURS 6700 Exam #3 Questions with Correct answers
What are the five Ps that affect the process of labor and birth? Correct
Answer-Passengers (fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position of the mother
Psychologic response
pharmacologic pain management should be implemented before pain
becomes? Correct Answer-so severe that catecholamines increase and
labor is prolonged
nerve block analgesia and anesthesia Correct Answer-local perineal
infiltration anesthesia
pudendal nerve block
neuraxial anesthesia (spinal, epidural, combined spinal and epidural)
advantages- superior pain relief
,disadvantages- maternal hypotension, HA, maternal hyperthermia
A nurse is caring for a client who is at 40 weeks of gestation and
experiencing contractions every 3 to 5 minutes and becoming stronger.
A vaginal exam reveals that the client's cervix is 3/80%/-1. The client
asks for pain medication. Which of the following actions should the
nurse take (Select all that apply).
A.Encourage use of patterned breathing techniques.
B.Insert an indwelling urinary catheter.
C.Administer opioid analgesic medication.
D.Suggest application of cold.
E.Provide ice chips. Correct Answer-a, c, d
A nurse is caring for a client who is in active labor. The client reports
lower-back pain. The nurse suspects that this pain is related to a
persistent occiput posterior fetal position. Which of the following
nonpharmacological nursing interventions should the nurse recommend
to the client?
,A.Abdominal effleurage
B.Sacral counterpressure
C.Showering if not contraindicated
D.Back rub and massage Correct Answer-b
A nurse is caring for a client who is in the second stage of labor. The
client's labor has been progressing, and she is expected to deliver
vaginally in 20 minutes. The provider is preparing to administer
lidocaine for pain relief and perform an episiotomy. The nurse should
know that which of the following types of regional anesthetic block is to
be administered?
A.Pudendal
B.Epidural
C.Spinal
D.Paracervical Correct Answer-a
A nurse is caring for a client following the administration of an epidural
block and is preparing to administer an IV fluid bolus. The client's
, partner asks about the purpose of the IV fluids. Which of the following
is an appropriate response for the nurse to make?
A."It is needed to promote increased urine output."
B."It is need to counteract respiratory depression."
C."It is needed to counteract hypotension."
D."It is needed to prevent oligohydramnios." Correct Answer-c
parenteral opioids Correct Answer-opioid agonist analgesics-
meperidine, fentanyl and remifentanil
opioid agonist-antagonist analgescis-nalbuphine
Leopold's Maneuvers Correct Answer-A series of four maneuvers
designed to provide a systematic approach whereby the examiner may
determine fetal presentation and position.
answers 3 questions
1. which fetal part is in the uterine fundus
What are the five Ps that affect the process of labor and birth? Correct
Answer-Passengers (fetus and placenta)
Passageway (birth canal)
Powers (contractions)
Position of the mother
Psychologic response
pharmacologic pain management should be implemented before pain
becomes? Correct Answer-so severe that catecholamines increase and
labor is prolonged
nerve block analgesia and anesthesia Correct Answer-local perineal
infiltration anesthesia
pudendal nerve block
neuraxial anesthesia (spinal, epidural, combined spinal and epidural)
advantages- superior pain relief
,disadvantages- maternal hypotension, HA, maternal hyperthermia
A nurse is caring for a client who is at 40 weeks of gestation and
experiencing contractions every 3 to 5 minutes and becoming stronger.
A vaginal exam reveals that the client's cervix is 3/80%/-1. The client
asks for pain medication. Which of the following actions should the
nurse take (Select all that apply).
A.Encourage use of patterned breathing techniques.
B.Insert an indwelling urinary catheter.
C.Administer opioid analgesic medication.
D.Suggest application of cold.
E.Provide ice chips. Correct Answer-a, c, d
A nurse is caring for a client who is in active labor. The client reports
lower-back pain. The nurse suspects that this pain is related to a
persistent occiput posterior fetal position. Which of the following
nonpharmacological nursing interventions should the nurse recommend
to the client?
,A.Abdominal effleurage
B.Sacral counterpressure
C.Showering if not contraindicated
D.Back rub and massage Correct Answer-b
A nurse is caring for a client who is in the second stage of labor. The
client's labor has been progressing, and she is expected to deliver
vaginally in 20 minutes. The provider is preparing to administer
lidocaine for pain relief and perform an episiotomy. The nurse should
know that which of the following types of regional anesthetic block is to
be administered?
A.Pudendal
B.Epidural
C.Spinal
D.Paracervical Correct Answer-a
A nurse is caring for a client following the administration of an epidural
block and is preparing to administer an IV fluid bolus. The client's
, partner asks about the purpose of the IV fluids. Which of the following
is an appropriate response for the nurse to make?
A."It is needed to promote increased urine output."
B."It is need to counteract respiratory depression."
C."It is needed to counteract hypotension."
D."It is needed to prevent oligohydramnios." Correct Answer-c
parenteral opioids Correct Answer-opioid agonist analgesics-
meperidine, fentanyl and remifentanil
opioid agonist-antagonist analgescis-nalbuphine
Leopold's Maneuvers Correct Answer-A series of four maneuvers
designed to provide a systematic approach whereby the examiner may
determine fetal presentation and position.
answers 3 questions
1. which fetal part is in the uterine fundus
