Review Nonpharmacologic Pain Management During Labor

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Nonpharmacologic Pain Management During Labor

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Total Questions : 5

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Question 1:

A nurse is caring for a woman who is in active labor and wants to use water immersion as a nonpharmacologic pain management method.

What should the nurse do before assisting the woman into the tub?

A. Check the fetal heart rate and position. B. Administer a dose of IV analgesia. C. Obtain a written consent from the woman. D. Measure the temperature and depth of the water.

Answer and Explanation

Choice A:

The nurse should monitor the fetal well-being and maternal progress before assisting the woman into the tub.Water immersion during labor may be associated with decreased pain or use of anesthesia and decreased duration of labor, but it should not prevent or inhibit other elements of care.

Choice B:

administering a dose of IV analgesia is not necessary for a woman who wants to use water immersion as a nonpharmacologic pain management method.Water immersion may provide effective pain management during labor without the need for pharmacological methods.

Choice C:

obtaining a written consent from the woman is not required for water immersion during labor.Water immersion during labor is a non-pharmacological method of managing labor pain that involves the pregnant woman’s abdomen being completely submerged in warm water.It does not pose any significant risks to the woman or the baby.

Choice D:

measuring the temperature and depth of the water is not the priority before assisting the woman into the tub.The temperature and depth of the water should be checked and maintained throughout the labor, but they are not as important as checking the fetal heart rate and position.

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Question 2:

A nurse is teaching a childbirth preparation class about the benefits of upright positioning during labor.

What should the nurse include in the teaching? (Select all that apply.)

A. It improves blood flow to the uterus and placenta. B. It reduces pressure on the sacrum and perineum. C. It increases pelvic diameter and fetal descent. D. It decreases uterine contractions and labor duration. E. It facilitates gravity and alignment of the fetus.

Answer and Explanation

Choice A:

It improves blood flow to the uterus and placenta, which means better oxygen supply to the baby.

Choice B:

It reduces pressure on the sacrum and perineum, which means less pain and discomfort for the mother.

Choice C:

It increases pelvic diameter and fetal descent, which means shorter and more effective contractions and easier delivery.

Choice D:

upright positioning does not decrease uterine contractions and labor duration, but rather increases them. This is beneficial for the progress of labor and the birth outcome.

Choice E:

upright positioning does not facilitate gravity and alignment of the fetus, but rather uses them. Gravity helps the baby move down the birth passage, and alignment refers to the optimal position of the baby’s head in relation to the mother’s pelvis. Upright positioning can help achieve this alignment, but it does not cause it.

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Question 3:

A nurse is providing continuous labor support to a woman who is experiencing back pain due to a posterior fetal position.

What nonpharmacologic technique can the nurse use to relieve the pain?

A. Effleurage B. Sacral pressure C. Transcutaneous electrical nerve stimulation (TENS) D. Acupuncture

Answer and Explanation

Choice A:

it is a light stroking of the abdomen that can help relax the woman and distract her from pain, but it does not directly address back pain.

Choice B:

Sacral pressure is a nonpharmacologic technique that can relieve back pain due to a posterior fetal position by applying firm pressure to the lower back with a fist, tennis ball, or other object.

Choice C:

it is not a nonpharmacologic technique, but rather a device that delivers low-voltage electrical impulses to electrodes attached to the skin.TENS can help block pain signals from reaching the brain, but it requires a prescription and proper training.

Choice D:

it is not a nonpharmacologic technique, but rather a form of alternative medicine that involves inserting thin needles into specific points on the body to stimulate nerves and muscles.Acupuncture can help reduce pain and inflammation, but it requires a licensed practitioner and may not be available or acceptable to all women.

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Question 4:

A nurse is instructing a woman in labor to use relaxation techniques to cope with pain.

What are some examples of relaxation techniques that the nurse can suggest? (Select all that apply.)

A. Breathing exercises B. Progressive muscle relaxation C. Guided imagery D. Hypnosis E. Aromatherapy.

Answer and Explanation

Choice A:

Breathing exercises is all examples of relaxation techniques that can help a woman in labor cope with pain.

Choice B:

Progressive muscle relaxation is all examples of relaxation techniques that can help a woman in labor cope with pain.

Choice C:

guided imagery is all examples of relaxation techniques that can help a woman in labor cope with pain.

Choice D:

is not a relaxation technique. Hypnosis is a state of altered consciousness that involves a deep focus on a single idea or suggestion. Hypnosis can be used to manage pain, but it requires the assistance of a trained professional and the cooperation of the patient. Hypnosis is not something that the nurse can suggest to the woman in labor without prior preparation and consent.

Choice E:

aromatherapy are all examples of relaxation techniques that can help a woman in labor cope with pain.

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Question 5:

A nurse is explaining the gate control theory of pain to a woman in labor who wants to use cutaneous stimulation as a nonpharmacologic pain management method.

What should the nurse say about how cutaneous stimulation works?

A. It stimulates nerve fibers that block pain signals from reaching the brain. B. It increases endorphins that act as natural pain relievers in the body. C. It decreases stress hormones that increase pain perception and anxiety. D. It improves oxygenation to the uterus and placenta that reduces ischemia.

Answer and Explanation

Choice A:

This is based on thegate control theory of pain, which describes how non-painful sensations can override and reduce painful sensations.According to this theory, there are neurological “gates” in the spinal cord that decide which pain signals pass through and which are kept out.When non-painful stimuli, such as cutaneous stimulation, activate large-diameter nerve fibers, they can close the gates and block the transmission of pain signals from small-diameter nerve fibers.

Choice B:

it confuses cutaneous stimulation with endogenous opioid system, which is another mechanism of pain modulation that involves the release of endorphins that act as natural pain relievers in the body.

Choice C:

it confuses cutaneous stimulation with stress-induced analgesia, which is another mechanism of pain modulation that involves the decrease of stress hormones that increase pain perception and anxiety.

Choice D:

it confuses cutaneous stimulation with counterirritation, which is another mechanism of pain modulation that involves the improvement of oxygenation to the affected area that reduces ischemia.

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Nonpharmacologic Pain Management During Labor

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