ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
The laboring person wants to use open glottis breathing for pushing. How can the nurse support the person?
Correct Answer: A
Rationale: The correct answer is A because open glottis breathing is a common technique during the pushing stage of labor as it helps prevent breath-holding and excessive pressure buildup. By encouraging the person to breathe however is most comfortable, the nurse supports their autonomy and allows them to effectively engage in open glottis breathing. Choice B is incorrect because holding the breath for counts can lead to increased intra-abdominal pressure and is not recommended during pushing. Choice C is incorrect as open glottis breathing is an effective technique for pushing. Choice D is incorrect as healthcare providers typically support the individual's chosen breathing techniques during labor.
Question 2 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 3 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 4 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.
Question 5 of 5
What is the expected effect of pudendal anesthesia?
Correct Answer: A
Rationale: The correct answer is A: loss of sensation in the perineum. Pudendal anesthesia specifically targets the pudendal nerve, which supplies sensation to the perineum. By blocking this nerve, the expected effect is a loss of sensation in the perineal region. Choices B, C, and D are incorrect because pudendal anesthesia does not affect motor function, consciousness, or the ability to move one's legs. It is important to understand the specific nerve being targeted and its function to determine the expected effects of anesthesia.