ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
A labor patient has brought in a photograph of her two children and asks the nurse to place it on the wall so that she can look at it during labor contractions. This is an example of
Correct Answer: A
Rationale: The correct answer is A: focal point. Placing the photograph on the wall serves as a focal point for the laboring patient, helping her to concentrate and stay focused during contractions. By having a specific point of visual focus, the patient can channel her energy and emotions towards the photo, providing a sense of comfort and motivation. It can also serve as a source of inspiration and reminder of the joy of motherhood, which can help in managing the pain and anxiety of labor. Summary of other choices: B: Distraction - While the photograph may provide a distraction, the primary purpose is to serve as a focal point for the patient. C: Effleurage - Effleurage is a massage technique used in labor, not related to placing a photograph on the wall. D: Relaxation - While the photograph may help in relaxation indirectly by providing comfort and focus, the primary purpose is not relaxation but rather concentration and emotional support.
Question 2 of 5
The nurse is providing care to a patient in the active phase of the first stage of labor. The patient is crying out loudly with each contraction. What is the nurse's most respectful approach for this patient?
Correct Answer: A
Rationale: Step-by-step rationale for why Answer A is correct: 1. Asking the patient's labor coach shows respect for the patient's support person and acknowledges their insight into the patient's usual behavior. 2. It allows the nurse to gather information about the patient's pain expression without assuming or judging the situation. 3. This approach promotes patient-centered care and involves the patient's primary support system in decision-making. 4. It fosters open communication and partnership between the nurse, patient, and labor coach, enhancing the overall quality of care. Summary: - Option B is incorrect because pain medication should not be assumed without assessing the patient's current pain level first. - Option C is incorrect as it lacks empathy and disregards the patient's emotional state during labor. - Option D is incorrect as it suggests suppressing a natural response to pain, which may not be beneficial for the patient's coping mechanism.
Question 3 of 5
A patient in active labor requests an epidural for pain management. What is the nurse's most appropriate intervention at this juncture?
Correct Answer: C
Rationale: The correct answer is C: Determine the patient's contraction pattern for the next 30 minutes. This is the most appropriate intervention as understanding the patient's contraction pattern is crucial in determining the stage of labor and the need for interventions like epidural. Assessing fetal heart rate (A) is important but not the immediate priority. Taking blood pressure (B) every 5 minutes is excessive and not directly related to the request for an epidural. Initiating an IV infusion of lactated Ringer's solution (D) is unnecessary and not indicated for pain management in labor. In summary, choice C is correct as it directly addresses the patient's current condition and guides further pain management decisions.
Question 4 of 5
While developing an intrapartum care plan for the patient in early labor, it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain. These include which of the following? (Select all that apply.)
Correct Answer: A
Rationale: Rationale: Culture can significantly impact a woman's perception and experience of pain during labor due to cultural beliefs, practices, and attitudes towards childbirth. Cultural norms and values can influence pain management preferences, coping mechanisms, and communication styles. Understanding the patient's cultural background is crucial for providing culturally competent care and addressing her psychosocial needs. Summary of other choices: B: Anxiety and fear - While anxiety and fear can influence a woman's pain experience, they are not specific to psychosocial factors related to culture. C: Support systems - Support systems can affect a woman's labor experience, but they do not specifically relate to the influence of psychosocial factors such as culture. D: Preparation for childbirth - Although preparation for childbirth can impact pain perception, it is not directly related to the influence of psychosocial factors like culture.
Question 5 of 5
The nurse is preparing a patient for a cesarean birth scheduled to be performed under general
Correct Answer: B
Rationale: The correct answer is B: Citric acid (Bicitr). Citric acid helps decrease the acidity of gastric contents, reducing the risk of aspiration during general anesthesia. Citric acid works as an antacid and helps neutralize stomach acid, which can help prevent complications during surgery. Incorrect choices: A: This choice is incorrect because it does not address the prevention of aspiration of gastric contents. C: Bromocriptine is a medication used to treat conditions like hyperprolactinemia and Parkinson's disease. It is not indicated for preventing aspiration during surgery. D: Ranitidine is an H2 blocker used to reduce stomach acid production. While it can help with heartburn and acid reflux, it is not typically used to prevent aspiration during surgery.