New Generation 2023 Maternity child nursing care exam 2 Latest Detailed 100% Graded A+ Rated 350+ Questions and verified

New Generation 2023 Maternity child nursing care exam 2 Latest Detailed 100% Graded A+ Rated 350+ Questions and verified
New Generation 2023 Maternity child nursing care exam 2 Latest Detailed 100% Graded A+ Rated 350+ Questions and ver. An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The woman states, "My contractions are so strong that I don't know what to do with myself." The nurse should:
a. assess for fetal well-being.
b. encourage the woman to lie on her side.
c. disturb the woman as little as possible.
d. recognize that pain is personalized for each individual. - CORRECT ANSWER>>ANS: D
Each woman's pain during childbirth is unique and is influenced by a variety of physiologic, psychosocial, and environmental factors. A critical issue for the nurse is how support can make a difference in the pain of the woman during labor and birth. Assessing for fetal well-being includes no information that would indicate fetal distress or a logical reason to be overly concerned about the well-being of the fetus. The left lateral position is used to alleviate fetal distress, not maternal stress. The nurse has an obligation to provide physical, emotional, and psychosocial care and support to the laboring woman. This patient clearly needs support.

2. Nursing care measures are commonly offered to women in labor. Which nursing measure reflects application of the gate-control theory?
a. Massaging the woman's back
b. Changing the woman's position
c. Giving the prescribed medication
d. Encouraging the woman to rest between contractions - CORRECT ANSWER>>ANS: A
According to the gate-control theory, pain sensations travel along sensory nerve pathways to the brain, but only a limited number of sensations, or messages, can travel through these nerve pathways at one time. Distraction techniques such as massage or stroking, music, focal points, and imagery reduce or completely block the capacity of nerve pathways to transmit pain. These distractions are thought to work by closing down a hypothetic gate in the spinal cord and thus preventing pain signals from reaching the brain. The perception of pain is thereby diminished. Changing the woman's position, giving prescribed medication, and encouraging rest do not reduce or block the capacity of nerve pathways to transmit pain using the gate-control theory.

3. A laboring woman received an opioid agonist (meperidine) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Demerol on the neonate?
a. Fentanyl (Sublimaze)
b. Promethazine (Phenergan)
c. Naloxone (Narcan)
d. Nalbuphine (Nubain) - CORRECT ANSWER>>ANS: C
An opioid antagonist can be given to the newborn as one part of the treatment for neonatal narcosis, which is a state of central nervous system (CNS) depression in the newborn produced by an opioid. Opioid antagonists such as naloxone (Narcan) can promptly reverse the CNS depressant effects, especially respiratory depression. Fentanyl, promethazine, and nalbuphine do not act as opioid antagonists to reduce the postnatal effects of Demerol on the neonate. Although meperidine (Demerol) is a low-cost medication and readily available, the use of Demerol in labor has been controversial because of its effects on the neonate.

4. A woman in labor has just received an epidural block. The most important nursing intervention is to:
a. limit parenteral fluids.
b. monitor the fetus for possible tachycardia.
c. monitor the maternal blood pressure for possible hypotension.
d. monitor the maternal pulse for possible bradycardia. - CORRECT ANSWER>>ANSified