ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
The fetus is in an occiput posterior position. What position can the nurse assist the laboring person into that may encourage the fetus to find the occiput anterior position?
Correct Answer: C
Rationale: The correct answer is C: hands and knees. This position can help rotate the fetus from occiput posterior to occiput anterior by allowing gravity to assist in the rotation. Placing the laboring person on hands and knees can help the baby's head shift towards the front, facilitating a more optimal birthing position. Squatting and shower may provide comfort but may not directly encourage the fetus to rotate. Semi-Fowler position may not be as effective in promoting the desired fetal positioning compared to hands and knees.
Question 2 of 5
The nurse provides counter pressure to relieve pain and open the pelvis to help with fetal descent. What type of counter pressure is the nurse providing?
Correct Answer: A
Rationale: The correct answer is A: hip squeeze. The nurse uses hip squeeze to provide counter pressure during labor. This technique helps relieve pain, open the pelvis, and facilitate fetal descent. By applying pressure on the hips, the nurse can help alleviate discomfort and create more space for the baby to move down the birth canal. Perineal pressure (B) focuses on the perineum, shoulder pressure (C) is not typically used in this context, and knee press (D) is not a common technique for labor pain management.
Question 3 of 5
What drug is an anxiolytic that relieves apprehension and creates a feeling of calm?
Correct Answer: A
Rationale: The correct answer is A: hydroxyzine. Hydroxyzine is an anxiolytic medication that acts on the central nervous system to relieve apprehension and induce a calming effect. It is commonly used to treat anxiety and tension. Fentanyl, codeine, and morphine are opioid medications primarily used for pain relief and do not have anxiolytic properties. Therefore, hydroxyzine is the correct choice for a drug that specifically targets anxiety and promotes a feeling of calm.
Question 4 of 5
What would the nurse administer if the newborn has decreased or no respiratory effort at delivery after the person received an opiate?
Correct Answer: A
Rationale: The correct answer is A: naloxone (Narcan). If a newborn has decreased or no respiratory effort after the mother received an opiate, it indicates potential opiate toxicity in the newborn. Naloxone is an opioid antagonist that can reverse the effects of opiates, including respiratory depression. Administering naloxone can help stimulate the newborn's respiratory effort, promoting adequate oxygenation. Summary: - A: Naloxone is the correct answer as it reverses opiate effects. - B: Acetaminophen is a pain reliever and does not address respiratory depression. - C: Oxygen may help with oxygenation but does not address the underlying opiate toxicity. - D: Sodium bicarbonate is used to treat acid-base imbalances and does not address opiate toxicity or respiratory depression.
Question 5 of 5
The nurse receives orders for pharmacologic pain relief. What does the nurse explain to the laboring person after administering fentanyl?
Correct Answer: A
Rationale: Rationale: After administering fentanyl, the nurse explains the need to monitor oxygen saturation due to the potential respiratory depression as a side effect of the medication. This is crucial for early detection and intervention. Monitoring for vaginal bleeding (C) is unrelated to fentanyl administration. Inserting a Foley catheter (B) and checking the cervix (D) are not necessary post-fentanyl administration. Oxygen saturation monitoring is the priority for patient safety.