ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Labor is a physically demanding process that requires increased energy expenditure. 2. Increased uterine activity during labor leads to higher oxygen consumption by the mother. 3. Maternal demand for oxygen increases to meet the metabolic needs of both the mother and the fetus. 4. Adequate oxygen supply is crucial to support the increased workload during labor. Summary: A: Incorrect. Labor typically leads to increased blood pressure due to sympathetic activation, not decreased. B: Incorrect. Uterine vasoconstriction is not expected during labor as it needs adequate blood supply for contractions. D: Incorrect. Catecholamine release during labor can lead to vasoconstriction, not increased blood flow to the placenta.
Question 2 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 3 of 5
A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would
Correct Answer: B
Rationale: The correct answer is B because applying a heat pack to the lower back can help alleviate labor pain through cutaneous stimulation. Heat therapy can increase blood flow, relax muscles, and reduce pain perception. Choice A is not specific to cutaneous stimulation and may not provide effective pain relief. Choice C focuses on mental imagery, not cutaneous stimulation. Choice D, while helpful for pain management, does not involve cutaneous stimulation.
Question 4 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 5 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.