38 Questions
What is a key factor in managing a client's pain management plan?
Understanding the client's cultural values and beliefs
What is the primary focus of pain management during childbirth?
Controlling uterine discomfort without harming the fetus or labor process
How many stages of labor are typically recognized?
4
Which of the following can influence a client's perception of pain?
Culture, anxiety, and depression
What is the primary goal of prenatal education covering parenting and communication classes?
Reducing postpartum anxiety and improving postpartum adjustment
When does the first stage of labor end?
With full dilation of the cervix
What is the primary cause of pain during the first stage of labor?
Distention and dilation of the cervix and lower uterine segment
During which stage of labor does the placenta separate and is born?
Placental third stage
What is the duration of the first stage of labor in a primigravida woman?
Up to 20 hours
What is the purpose of the restorative fourth stage of labor?
To help the mother's body recover after the hard work of labor
During which phase of the first stage of labor does rapid cervical dilation begin?
Active phase
What is the typical duration of uterine contractions during the expulsive second stage of labor?
60-90 seconds
What is the primary purpose of using techniques like breathing, relaxation, and positive visualization during contractions?
To keep the sensory input from reaching the pain center in the cortex of the brain
What is the effect of light touch on the body?
It releases endorphins and induces a relaxed state
What is the primary function of Effleurage?
To serve as a relaxation and distraction technique from discomfort
What is the effect of massage on the body's perception of pain?
It reduces the transmission of signals between nerve cells
What is the reason why touch receptors can block the pain message to the brain?
Because they are faster than pain receptors
What is the primary purpose of using the sense of touch during contractions?
To promote relaxation and pain relief
What helps to strengthen uterine contractions and aid in the placenta separating from the uterus?
Oxytocin
Why do most women shiver and feel cold shortly after giving birth?
Due to the drop in adrenaline levels
What is the primary role of nurses during the 3rd stage of labor?
To ensure unhurried and uninterrupted contact between mother and newborn
What is the process by which the uterus returns to its non-pregnant size and condition?
Involution
How much does the uterus weigh approximately one week after birth?
500 g (1 lb)
Where is the fundus of the uterus located during the first 12 hours postpartum?
At the level of the umbilicus
What is the result if the retrogressive changes of uterine involution don't occur as expected?
Subinvolution of the uterus
What facilitates uterine involution?
Complete expulsion of amniotic membranes and placenta at birth
What can cause difficulty in urination after giving birth?
All of the above
What is the effect of pregnancy on glomerular filtration rate and renal plasma flow?
They increase significantly
During the postpartum period, what is the typical frequency of assessments during the first hour?
Every 15 minutes
What is a risk factor for postpartum infection?
Prolonged labor (more than 24 hours)
What is the purpose of the postpartum assessment?
To identify potential complications early
What is a normal temperature range for a new mother during the first 24 hours postpartum?
Up to 100.4°F (38°C)
What is included in the postpartum assessment of the mother?
Systematic head-to-toe review of body systems
What is a danger sign during the postpartum period?
Fever more than 100.4°F (38°C)
What is a risk factor for postpartum hemorrhage?
Precipitous labor (less than 3 hours)
Why is it essential to review the woman's medical record?
To identify potential complications
What is the purpose of the BUBBLE-EE acronym?
To guide a systematic head-to-toe review of body systems
What is a common physiologic change during the postpartum period?
Body systems return to their nonpregnant state
This quiz assesses knowledge on the importance of prenatal education in reducing postpartum anxiety and improving postpartum adjustment. It covers the role of nurses in providing evidence-based education during the prenatal period.
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