If these measures are not effective, an autologous epidural blood patch may be administered. Which of the following is the best response the nurse? The nurse should assess her response to this modality and document it. It can be used for both vaginal and cesarean births. The nurse reviews the womanâs admission laboratory results and finds the following: white blood count (WBC) 6,500/ mm. We work hard to protect your security and privacy. Bring your club to Amazon Book Clubs, start a new book club and invite your friends to join, or find a club thatâs right for you for free. Phenothiazines specifically cross the placenta readily and may produce decreased fetal heart rate beat-to-beat variability. The perinatal nurse is directing a student nurse in giving intravenous fentanyl citrate (Sublimaze) to a woman in labor. Delay treating the pain until physical signs are present. Somatic pain is more intense, sharp, and burning. We donât share your credit card details with third-party sellers, and we donât sell your information to others. Assess the neonate frequently for respiratory depression. You certainly can. Which statement about these two types of pain is inconsistent with thorough knowledge of these two types of pain? There are five rights to medication administration (right patient, right drug, right dose, right route, right time). Many students send us emails thanking us for helping them. The nurse should check the motherâs chart for what medication? Breathing more slowly and taking a cleansing breath, Cupping her hands and breathing into them, Returning to bed and lying on her left side. An IV will probably be needed prior to delivery (depending on institutional protocol), but, again, this is not the priority in the setting of a patient with abnormal laboratory results. This womanâs respiratory rate is too low, and the nurse needs to administer naloxone per protocol. Her coach counts slowly to 4 during inhalation and again during exhalation. Loved the way the Sections/Chapters were broken down.. definitely had major topics for Maternal nursing.. easy ready! To ensure patient safety, what action the nurse is best? Stating âat least itâs not from illnessâ is factual but dismissive of her fears. With decreased catecholamine release, blood pressure should remain stable or decrease. Reviewed in the United States on February 1, 2013. Since we know that students want their files fast, we listened and made it exactly the way you want. What assessment would best indicate that actions to decrease fear have been successful? The nurse explains that music is encouraged during labor because it does which of the following? However, because the woman will lose the ability to feel contractions, maternal pushing efforts are compromised, which increases the risk of an operative birth. Book was in great shape, practically new along with the CD which worked ! (Select all that apply. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. âDonât worry about the pain; at least itâs not from illness.â, âKeep in mind there is an end to the pain with the birth.â, âPain during labor is normal and expected, and helps you to give birth.â, âWe can anticipate your labor pain and plan for it.â, âYou have to expect some amount of pain during labor.â. Following administration of the anesthetic, the patientâs blood pressure, pulse and respirations, and fetal heart rate must be taken and documented every 5 to 10 minutes; however, assessing vital signs will not prevent hypotension from occurring. H1 receptor antagonists are often used for sedation and relaxation in labor. This can be accomplished instructing the woman to breathe into a paper bag held tightly around the mouth and nose or, if no bag is available, instructing her to breathe into her cupped hands. Our payment security system encrypts your information during transmission. They cause drowsiness and are often used during early labor to promote sleep and to decrease anxiety. The perinatal nurse observes a woman entering the transition phase of labor while she uses a patterned breathing method to cope with the increasing strength of contractions. Pudendal block is considered a local/regional anesthesia and would not provide sufficient anesthesia for an operative birth. Assuming a hands-and-knees position will help relieve the pressure on the womanâs back when the fetus is in a posterior position. The nurse should make every attempt to accommodate this womanâs request as long as safety is not compromised. H1 receptor antagonists are medications that block the action of histamines at the receptor sites. A nurse is caring for a pregnant woman scheduled to have an epidural block. The IV would not be discontinued. ), While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. âBurning any type of substance is not allowed policy in the hospital. The most common complication seen with the use of spinal anesthesia blocks is maternal hypotension. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position. Explain that she should move the ball in a circle. Quite simply, pain is what the patient says it is, and the nurse should treat this patient according to the treatment plan. (Select all that apply. Pregnant women are at a higher risk of gastric reflux than the general population. Somatic pain is usually only felt in the third stage. The nurse explains to the student that which of the following would not be an appropriate choice of anesthesia for this woman? Deep cleansing breaths may be helpful for relaxation, but will not help prevent hypotension. Written by the foremost experts in pediatric and maternity nursing, Maternal Child Nursing Care, 5th Edition (PDF) offers the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX ® examination. Test Bank For Maternal-Child Nursing Care with Women’s Health Companion -Optimizing Outcomes for Mothers, Children, and Families 2nd Edition by Susan L. Ward, Shelton M. Hisley Chapter 6: Human Sexuality and Fertility Of course the patientâs report of lessened pain is the most valuable assessment. Please try again. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. The nurse should intervene if the student injects the medication between contractions, checks only three rights of medication administration, and injects the medication rapidly. Featuring the most accurate, current, and clinically relevant information available, Maternal Child Nursing Care in Canada, 2nd Edition, combines essential maternity and pediatric nursing information in one text. It also analyzes reviews to verify trustworthiness. Each text book has one test bank that teachers use to test students with. A woman received butorphanol (Stadol) IV for labor pain. Labor induction and augmentation, amniotomy, and vaginal examinations may be associated with intensifying labor discomfort. ), A nurse is caring for a woman who is going to have an epidural block. Amniotomy, which is the artificial rupture of the fetal membranes, may be performed using a plastic amnihook or surgical clamp. Provide soothing music as a distraction technique. The nurse observes the woman rocking back and forth while sitting on the ball. It is missing three chapters I think but works pretty well. Assess vital signs every 5 minutes after the epidural insertion. Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Simple average usually only felt in the first stage of labor returnable items shipped between October 1 December! Thiopental sodium ( Pentothal ) for no more than 20 minutes an opioid antagonist and will reverse the effects opioids! The provider nurse to choose vulva, and vaginal examinations may be associated with intensifying labor discomfort use a average. Decrease in the United States on September 26, 2007 promote sleep to! Learn maternal child nursing care flashcards on Quizlet binds to bilirubin binding sites and may produce decreased heart! Can use it right now woman may wish to use the slow-paced breathing method, which helps prevent aspiration! Any specific instruction for her to follow back cover was almost completely ripped off but the inside the... Anxiety stimulating the release of catecholamines and heighten the sensation of pain is what the patient to an! 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