Nonpharmacological and Pharmacological Pain Relief Measures in Pregnancy
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Questions and Answers

What propels the fetus downward through the pelvis in the second stage of labour?

  • Uterine contractions only
  • Combined powers of uterine contractions and voluntary maternal pushing (correct)
  • Voluntary maternal pushing only
  • Fetal movements

When do most women feel a strong urge to push or bear down during labour?

  • When the cervix is partially dilated
  • When the cervix is fully dilated and the fetus begins to descend (correct)
  • When the fetus is in a breech position
  • At the beginning of the first stage of labour

Which maternal position is often associated with shorter labours?

  • Standing position
  • Supine position
  • Sitting or kneeling position (correct)
  • Prone position

What type of pelvis is directly involved in childbirth?

<p>Inlet pelvis (A)</p> Signup and view all the answers

In which stage of labour do women usually change positions frequently?

<p>First stage (A)</p> Signup and view all the answers

What effect does anxiety and fear have on uterine contractions during labour?

<p>Inhibits uterine contractions (C)</p> Signup and view all the answers

Which of the following is a sign of impending labour related to uterine contractions?

<p>Increased vaginal discharge (B)</p> Signup and view all the answers

What is the term for the mechanism of labour that involves the descent of the baby into the pelvis?

<p>Engagement (B)</p> Signup and view all the answers

Which stage of labour involves dilation and effacement of the cervix?

<p>First stage (C)</p> Signup and view all the answers

What is the preferred method of fetal heart rate monitoring in an uncomplicated pregnancy?

<p>Intermittent auscultation (A)</p> Signup and view all the answers

What are the components of the birth process according to the text?

<p>Five 'Ps' (B)</p> Signup and view all the answers

Which term describes the effect of uterine contractions on the cervix?

<p>Dilation (D)</p> Signup and view all the answers

What is the recommended duration for a safe uterine contraction, as per the safety alert in the text?

<p>Less than 60 seconds (D)</p> Signup and view all the answers

Which term refers to the strength of uterine contractions?

<p>Intensity (B)</p> Signup and view all the answers

What is the effect of uterine contractions on the cervix during the 'Efface' phase?

<p>Cervical softening (A)</p> Signup and view all the answers

What is the purpose of using pharmacological methods during labor?

<p>To decrease the rate of obstetrical interventions (B)</p> Signup and view all the answers

Which medication should be avoided if birth is anticipated within 1 hour?

<p>Narcotic (opioid) analgesics (A)</p> Signup and view all the answers

What is the role of the nurse in pharmacological techniques during labor?

<p>Determine the woman's preference for pain relief (C)</p> Signup and view all the answers

What is the purpose of an episiotomy during birth?

<p>To control surgical enlargement of the vaginal opening (B)</p> Signup and view all the answers

What is the main concern related to perineal lacerations during childbirth?

<p>Resulting in uncontrolled tear of tissues (B)</p> Signup and view all the answers

What is the primary purpose of empathy in nursing care during labor?

<p>To support the partner or support person (B)</p> Signup and view all the answers

How does childbirth pain differ from other types of pain?

<p>It is self-limiting and rapidly declines after birth (A)</p> Signup and view all the answers

What can modify labor pain according to the text?

<p>Cervical readiness for labor (A)</p> Signup and view all the answers

What are the limitations of nonpharmacological pain management methods?

<p>They are only effective if practiced beforehand (C)</p> Signup and view all the answers

In what way do psychosocial factors modify labor pain?

<p>By initiating the fear – tension – pain cycle (B)</p> Signup and view all the answers

Which nonpharmacological measure can aid in a woman's ability to work through contractions?

<p>Breathing (A)</p> Signup and view all the answers

What is the primary advantage of most pharmacological pain management methods during labor?

<p>They have minimal adverse effects (C)</p> Signup and view all the answers

Which type of breathing is used during the second stage of labor when pushing?

<p>Constant pattern breathing (B)</p> Signup and view all the answers

What can result from the sluggish GI tract during pregnancy in relation to analgesia and anesthesia?

<p>Increased risk of vomiting and aspiration (D)</p> Signup and view all the answers

Which nonpharmacological measure involves applying pressure to the sacrum and can aid in pain relief during labor?

<p>Sacral pressure (D)</p> Signup and view all the answers

What is the primary role of uterine contractions during labor?

<p>To cause dilation and effacement of the cervix (D)</p> Signup and view all the answers

How do uterine contractions affect the cervix?

<p>They cause the cervix to thin and open (C)</p> Signup and view all the answers

What is the effect of uterine contractions on the fetal heart rate?

<p>100bpm heart rate (A)</p> Signup and view all the answers

What is a characteristic of vigorous uterine contractions during labor?

<p>Lusty cry (B)</p> Signup and view all the answers

How do uterine contractions contribute to the birth process?

<p>By propelling the fetus downward through the pelvis (A)</p> Signup and view all the answers

What is a consequence of weak uterine contractions during labor?

<p>Delayed progress in labor (A)</p> Signup and view all the answers

What is an expected outcome of effective uterine contractions during labor?

<p>Promotion of parent–infant bonding (A)</p> Signup and view all the answers

In which stage of labor do uterine contractions play a crucial role in expelling the placenta?

<p>Third stage (C)</p> Signup and view all the answers

What is a potential consequence of erratic uterine contractions during labor?

<p>Delayed progress in labor (D)</p> Signup and view all the answers

How do uterine contractions affect maternal vital signs during labor?

<p>They may result in changes in maternal pulse rate (D)</p> Signup and view all the answers

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