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</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</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</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</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)</p> Signup and view all the answers

    What does 'Gravida' refer to in prenatal care?

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

    How do maternal catecholamines affect labor pain?

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

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

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

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

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

    What is a major drawback of epidural anesthesia?

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

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

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

    What is the main benefit of epidural anesthesia during childbirth?

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

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

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

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

    <p>Local</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</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</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</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</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</p> Signup and view all the answers

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