ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
Which patient will most likely have increased anxiety and tension during labor?
Correct Answer: B
Rationale: The correct answer is B. A patient who delivered a stillborn baby last year is more likely to experience increased anxiety and tension during labor due to previous traumatic experience. This can trigger fear and worry about the current pregnancy outcome, leading to heightened emotional distress. Incorrect Choices: A: Refusing medication does not necessarily correlate with increased anxiety during labor. C: Not attending childbirth classes may result in lack of knowledge but does not directly relate to increased anxiety during labor. D: Having two children younger than 3 years may cause stress but does not specifically indicate increased anxiety during labor.
Question 2 of 5
Which physiologic effect may occur in the presence of increased maternal pain perception during labor?
Correct Answer: C
Rationale: The correct answer is C. Increased maternal pain perception during labor can lead to decreased perfusion to the placenta due to catecholamine secretion. When a mother experiences pain, stress hormones like catecholamines are released, causing vasoconstriction of blood vessels, including those supplying the placenta. This vasoconstriction reduces blood flow to the placenta, potentially compromising fetal oxygenation and nutrient delivery. Choice A is incorrect because increased catecholamine secretion would not directly cause an increase in uterine contractions. Choice B is incorrect because alpha receptors are not typically involved in decreasing blood pressure in response to pain perception. Choice D is incorrect because increased uterine blood flow would not cause an increase in maternal blood pressure; in fact, it would likely have the opposite effect as increased blood flow typically leads to decreased blood pressure.
Question 3 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 4 of 5
A patient in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with
Correct Answer: D
Rationale: The correct answer is D: somatic pain. Somatic pain is caused by the activation of pain receptors in the skin, muscles, or bones. In the second stage of labor, the baby's head passes through the birth canal, stretching the pelvic floor muscles and causing pressure and stretching of the perineum. This results in somatic pain due to the activation of pain receptors in these structures. Visceral pain (choice A) is deep, dull pain from internal organs, not applicable here. Tissue ischemia (choice B) refers to inadequate blood supply causing tissue damage, not pain. Cervical dilation (choice C) is not typically associated with burning pain.
Question 5 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.