Psychological Stress and Labor Pain Management Quiz

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Questions and Answers

What is a common test performed to screen for Gestational Diabetes?

  • HIV screening
  • HgbA1c measurement
  • Blood Pressure measurement
  • O'Sullivan Test (correct)

In prenatal care, what is the purpose of checking for Hemoglobin A1c (HgbA1c) levels?

  • To detect HIV
  • To measure glucose levels in Gestational Diabetes
  • To screen for Rubella infection
  • To assess long-term blood glucose control (correct)

Which prenatal test is crucial for determining the Rh factor of the mother's blood?

  • CBC
  • HbsAG screening
  • Chlamydia testing
  • Rh antibody screen (correct)

What is the primary purpose of performing a cervical exam during pregnancy?

<p>To check for any cervical changes (D)</p> Signup and view all the answers

Why is the first ultrasound (US) considered the most accurate for determining gestational age?

<p>It is performed early in pregnancy and helps establish a baseline for gestational age (C)</p> Signup and view all the answers

What is the term used for contractions at term that do not result in cervical change?

<p>Braxton-Hicks contractions (B)</p> Signup and view all the answers

In the initial evaluation of a patient in labor, what is NOT typically part of the fetal evaluation?

<p>Umbilical cord assessment (B)</p> Signup and view all the answers

How is the estimated date of confinement (EDC) or delivery (EDD) usually established?

<p>By date of last menstrual period (LMP) (D)</p> Signup and view all the answers

What does 'Gravida' refer to in prenatal care?

<p>Number of pregnancies including present (C)</p> Signup and view all the answers

What aspect is NOT typically included in the maternal full evaluation during labor?

<p>Assessment of fetal movement (A)</p> Signup and view all the answers

What is one key family history aspect to consider during initial labor evaluation?

<p>Obstetric problems in the family (B)</p> Signup and view all the answers

How do maternal catecholamines affect labor pain?

<p>Inhibit uterine contractility and placental blood flow (A)</p> Signup and view all the answers

What is the primary impact of marked anxiety or fear on a woman's ability to cope with labor pain?

<p>Reduces her ability to cope (C)</p> Signup and view all the answers

During which stage of labor does the delivery of the placenta occur?

<p>Stage 3 (B)</p> Signup and view all the answers

What characterizes the contractions during the active phase of Stage 1 of labor?

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

What is the typical duration of the early or latent phase of Stage I labor for a primipara (first-time mother)?

<p>8 - 12 hours (D)</p> Signup and view all the answers

What is the common affect or emotional state experienced during the active phase of Stage I labor?

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

What is a major drawback of epidural anesthesia?

<p>Can cause BP to drop (D)</p> Signup and view all the answers

When can epidurals or spinals not be used on a patient?

<p>Uses blood thinners or has a bleeding tendency (B)</p> Signup and view all the answers

What is the average duration of descent during the stage 2 of labor for a multipara?

<p>45 minutes (C)</p> Signup and view all the answers

What is a risk associated with light general anesthesia for Cesarean birth?

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

What is the main benefit of epidural anesthesia during childbirth?

<p>Patient can remain awake and alert (D)</p> Signup and view all the answers

What must the nurse be alert for in preparing for impending births?

<p>Signs of neonatal narcosis (D)</p> Signup and view all the answers

What type of anesthesia involves lidocaine injected into soft tissues of the perineum for repair?

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

Which anesthesia type is typically used for the treatment of moderate to severe pain when prolonged effect is desired and systemic absorption is a risk?

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

What medication is administered for sedation during labor to help reduce pain but not eliminate it entirely?

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

Which type of anesthesia is specifically used in the treatment of moderate to severe recurring pain and carries the risk of CNS depression?

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

For which stage of labor is pudendal block anesthesia typically indicated?

<p>2nd stage perineal pain and perineal repair (C)</p> Signup and view all the answers

Which type of anesthesia carries the risk of maternal hypotension, temporary loss of motor/sensory control, and spinal headache?

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

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