ATI RN
Promoting Client Comfort During Labor and Delivery Questions
Question 1 of 5
The laboring person is anxious and hurting. What can the nurse do to help the laboring person?
Correct Answer: B
Rationale: The correct answer is B because encouraging frequent position changes can help alleviate discomfort during labor by reducing pressure on certain areas and promoting better circulation. This also helps with the progression of labor. Choice A (Offer her an epidural) may be a valid option, but it should not be the first line of intervention for all laboring individuals. Choice C (Explain that she has to care for two other persons) is irrelevant and may increase anxiety. Choice D (Tell them to call someone to come sit with them) does not address the physical discomfort and is not a direct intervention to support the laboring person.
Question 2 of 5
What does the nurse explain to the laboring person and partner about nitrous oxide?
Correct Answer: C
Rationale: The correct answer is C because nitrous oxide does not affect respiration like an opiate would. Nitrous oxide is a safe option for pain relief during labor because it does not depress the respiratory system. It is self-administered by the laboring person and does not require assistance from the partner. Choices A and B are incorrect because nitrous oxide does not cause respiratory depression in the newborn or the laboring person. Choice D is incorrect because the laboring person holds the mask to their face themselves.
Question 3 of 5
What are the side effects of spinal anesthesia? Select one that doesn't apply.
Correct Answer: C
Rationale: The correct answer is C: renal damage. Spinal anesthesia affects the nervous system, not the kidneys. Hypotension and respiratory depression are common side effects due to vasodilation and decreased respiratory drive. Infection can occur due to the invasive nature of the procedure. Renal damage is not a known side effect of spinal anesthesia as it does not directly affect kidney function.
Question 4 of 5
The nurse is monitoring the person's vital signs after the epidural is placed and notices a blood pressure of 80/50 mm Hg. What nursing intervention can be performed prior to the epidural placement to potentially reduce this side effect?
Correct Answer: B
Rationale: Correct Answer: B - IV fluid bolus Rationale: 1. IV fluid bolus can help increase blood volume and improve blood pressure. 2. Adequate hydration is crucial before epidural placement to prevent hypotension. 3. Other choices are not directly related to improving blood pressure in this scenario. Summary: - A: Routine use of ephedrine is not recommended as a routine prophylactic measure. - C: Insertion of indwelling urinary catheter is important for monitoring urine output but not for improving blood pressure. - D: Upright positioning may help prevent hypotension after epidural, but it's not a pre-epidural intervention to address low blood pressure.
Question 5 of 5
What is a side effect of general anesthesia that usually limits its use to cases of emergency?
Correct Answer: B
Rationale: The correct answer is B: newborn respiratory depression. General anesthesia can cross the placental barrier and affect the newborn's respiratory system, leading to potential complications such as respiratory depression. This side effect is a major concern, especially in non-emergency situations, as it can pose risks to the newborn's health. Hyperactive newborns (A), increase in uterine contractions (C), and decrease in cervical dilation (D) are not typical side effects of general anesthesia that limit its use in emergency cases. These options are unrelated to the primary concern of newborn respiratory depression in the context of administering general anesthesia during childbirth.