ATI RN
Promoting Client Comfort During Labor and Delivery Questions
Question 1 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 2 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 3 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.
Question 4 of 5
What nursing intervention can be performed prior to epidural placement to potentially reduce a blood pressure drop?
Correct Answer: B
Rationale: The correct answer is B: IV fluid bolus. Prior to epidural placement, administering an IV fluid bolus can help prevent a drop in blood pressure by increasing preload and maintaining cardiac output. This helps offset the vasodilation effects of the epidural anesthesia. Options A, C, and D are incorrect. Ephedrine (A) is not routinely used before epidural placement due to its potential adverse effects. Insertion of a urinary catheter (C) is not directly related to preventing a blood pressure drop. Upright positioning (D) may actually worsen hypotension by pooling blood in the lower extremities.
Question 5 of 5
Which fetal position may cause the laboring patient increased back discomfort?
Correct Answer: B
Rationale: The correct answer is B: Left occiput posterior. In this position, the baby's occiput is towards the mother's back, leading to increased back discomfort during labor. The baby's position can put pressure on the mother's sacrum and lower back, causing more pain. Choices A, C, and D do not involve the baby's occiput being posterior, so they would not result in the same level of back discomfort.