1. Childbirth preparation can be considered successful if which of the following outcomes is
achieved?
a. Labor was pain-free.
b. The birth experiences of friends and families were ignored.
c. Only nonpharmacologic m
...
1. Childbirth preparation can be considered successful if which of the following outcomes is
achieved?
a. Labor was pain-free.
b. The birth experiences of friends and families were ignored.
c. Only nonpharmacologic methods for pain control were used.
d. The patient rehearsed labor and practiced skills to master pain.
ANS: D
Preparation allows the woman to rehearse for labor and to learn new skills to cope with the
pain of labor and the expected behavioral changes. Childbirth preparation does not guarantee a
pain-free labor. A woman should be prepared for pain and anesthesia–analgesia realistically.
Friends and families can be an important source of support if they convey realistic
information about labor pain. Women will not always achieve their desired level of pain
control by using nonpharmacologic methods alone.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation
MSC: Patient Needs: Psychosocial Integrity
2. A woman with a known heroin habit is admitted in early labor. Which drug is contraindicated
with opiate-dependent patients?
a. Nalbuphine (Nubain)
b. Hydroxyzine (Vistaril)
c. Promethazine (Phenergan)
d. Diphenhydramine (Benadryl)
ANS: A
Nalbuphine may precipitate withdrawal if given to an opiate-dependent woman. Hydroxyzine
is an antihistamine with antiemetic effects. Promethazine usually relieves nausea and
vomiting. Diphenhydramine is commonly used to relieve pruritus from epidural narcotics.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Physiologic Integrity
3. A patient is admitted to the labor and birth room in active labor; contractions are 4 to 5
minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment.
When is the best time to ask questions or perform procedures?
a. After the contraction is over
b. When it is all right with the coach
c. During the increment of the next contraction
d. After administration of analgesic-anesthet
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