MPN CH 7 Nursing Management of Pain During Labor and
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Questions and Answers

Which method of childbirth preparation focuses on deep breathing and relaxation techniques?

  • Bradley method
  • Lamaze method (correct)
  • Cleansing breath
  • Blood patch
  • What is the term for the technique of using light, rhythmic strokes on the abdomen during labor?

  • Focal point
  • Blood patch
  • Endorphins
  • Effleurage (correct)
  • Which term refers to the body's natural pain-relieving substances?

  • Pain threshold
  • Opioids
  • Pain tolerance
  • Endorphins (correct)
  • What is the term for the minimum level of stimulation required for a person to perceive pain?

    <p>Pain threshold</p> Signup and view all the answers

    Which fetal presentation and position is most likely to result in persistent and poorly relieved back pain during labor?

    <p>Occiput posterior</p> Signup and view all the answers

    Which of the following interventions during labor may add to pain?

    <p>All of the above</p> Signup and view all the answers

    Which psychosocial variable alters the pain a woman experiences during labor?

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

    Which childbirth preparation method emphasizes slow abdominal breathing and relaxation techniques?

    <p>Bradley method</p> Signup and view all the answers

    Which technique stimulates large-diameter nerve fibers, thus interfering with pain transmission?

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

    Which of the following classes is specifically tailored to the needs of pregnant adolescents?

    <p>Adolescent childbirth preparation classes</p> Signup and view all the answers

    What is the most effective way to use massage techniques for pain relief during labor?

    <p>Change the pattern or area massaged when it becomes less effective</p> Signup and view all the answers

    Which of the following topics is usually included in most childbirth preparation classes?

    <p>Infant care</p> Signup and view all the answers

    Which technique helps to reduce the pain of back labor?

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

    What is one benefit of exercise during pregnancy?

    <p>Relieving common pregnancy discomforts</p> Signup and view all the answers

    Which technique is used to stimulate temperature receptors that interfere with pain transmission?

    <p>Thermal stimulation</p> Signup and view all the answers

    What do cesarean birth classes aim to help women and their support persons understand?

    <p>The reasons for cesarean delivery</p> Signup and view all the answers

    Which term describes the least amount of sensation that a person perceives as painful?

    <p>Pain threshold</p> Signup and view all the answers

    What is the relationship between pain threshold and pain tolerance?

    <p>Pain threshold remains constant, while pain tolerance can change</p> Signup and view all the answers

    Which physical factors contribute to pain during labor?

    <p>All of the above</p> Signup and view all the answers

    What are endorphins?

    <p>Natural body substances similar to morphine</p> Signup and view all the answers

    Which nonpharmacological technique promotes relaxation and reduces muscle tension during labor?

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

    What is the recommended range for the Lamaze breathing technique in relation to the woman's baseline respiratory rate?

    <p>No faster than the baseline rate</p> Signup and view all the answers

    What is the purpose of frequent changing of position during labor?

    <p>To relieve muscle fatigue and strain</p> Signup and view all the answers

    Which method can be used to divert the woman's attention from pain during labor?

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

    Which technique is most effective if practiced before labor?

    <p>Breathing techniques</p> Signup and view all the answers

    When should a woman start using breathing techniques during labor?

    <p>When she can no longer walk or talk through a contraction</p> Signup and view all the answers

    What is the purpose of the cleansing breaths in breathing techniques?

    <p>To help the woman relax and focus on relaxing</p> Signup and view all the answers

    When are breathing techniques taught to a woman who has not had childbirth preparation classes?

    <p>As she needs them</p> Signup and view all the answers

    What does slow-paced breathing refer to?

    <p>The speed at which the woman breathes during labor</p> Signup and view all the answers

    What is the purpose of watching television during early labor?

    <p>To provide background noise</p> Signup and view all the answers

    Which term refers to the technique of using light, rhythmic strokes on the abdomen during labor?

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

    What is the term for the body's natural pain-relieving substances?

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

    Which childbirth preparation method focuses on deep breathing and relaxation techniques?

    <p>Lamaze method</p> Signup and view all the answers

    Which technique stimulates large-diameter nerve fibers, thus interfering with pain transmission?

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

    Which nonpharmacological technique promotes relaxation and reduces muscle tension during labor?

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

    What is the purpose of frequent changing of position during labor?

    <p>To reduce muscle fatigue and strain</p> Signup and view all the answers

    Which technique stimulates large-diameter nerve fibers, thus interfering with pain transmission?

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

    When are breathing techniques taught to a woman who has not had childbirth preparation classes?

    <p>During active labor</p> Signup and view all the answers

    Which of the following classes is specifically tailored to the needs of pregnant adolescents?

    <p>Adolescent childbirth preparation classes</p> Signup and view all the answers

    What is the recommended range for the Lamaze breathing technique in relation to the woman's baseline respiratory rate?

    <p>Slightly above the baseline respiratory rate</p> Signup and view all the answers

    What is one benefit of exercise during pregnancy?

    <p>Reduced back discomfort</p> Signup and view all the answers

    Which method of childbirth preparation focuses on deep breathing and relaxation techniques?

    <p>Lamaze method</p> Signup and view all the answers

    Which fetal presentation and position is most likely to result in persistent and poorly relieved back pain during labor?

    <p>Occiput posterior</p> Signup and view all the answers

    What is the relationship between pain threshold and pain tolerance?

    <p>They are the same thing</p> Signup and view all the answers

    Which method of childbirth preparation focuses on interrupting the fear-tension-pain cycle during labor?

    <p>Dick-Read method</p> Signup and view all the answers

    What is one benefit of nonpharmacological pain control methods during labor?

    <p>They carry no risk for allergy or adverse drug effects</p> Signup and view all the answers

    Which of the following factors contribute to pain during labor?

    <p>All of the above</p> Signup and view all the answers

    According to the gate control theory, which of the following techniques can help close the gate to painful impulses?

    <p>All of the above</p> Signup and view all the answers

    What is the relationship between pain threshold and pain tolerance?

    <p>Pain tolerance is higher than pain threshold</p> Signup and view all the answers

    What physical factors can modify the amount of pain a woman feels during labor?

    <p>All of the above</p> Signup and view all the answers

    Which technique is most effective if practiced before labor?

    <p>Slow-paced breathing</p> Signup and view all the answers

    What is the purpose of watching television during early labor?

    <p>To provide background noise</p> Signup and view all the answers

    What is the recommended range for the Lamaze breathing technique in relation to the woman's baseline respiratory rate?

    <p>Between 10 and 12 breaths per minute</p> Signup and view all the answers

    Which method of childbirth preparation focuses on deep breathing and relaxation techniques?

    <p>Lamaze method</p> Signup and view all the answers

    What is the purpose of frequent changing of position during labor?

    <p>To reduce pain</p> Signup and view all the answers

    When are breathing techniques taught to a woman who has not had childbirth preparation classes?

    <p>Throughout labor</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman contracting one group of muscles strongly and consciously relaxing all others?

    <p>Neuromuscular dissociation</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman responding to touch with relaxation?

    <p>Touch relaxation</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman's partner exerting pressure against a tendon or large muscle of the arm or leg, gradually increasing and then decreasing pressure to simulate the gradual increase, peak, and decrease in contraction strength?

    <p>Relaxation against pain</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves massaging the abdomen or other areas during contractions?

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

    Which childbirth preparation method emphasizes slow abdominal breathing and relaxation techniques?

    <p>Bradley method</p> Signup and view all the answers

    What is the term for the body's natural pain-relieving substances?

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

    Which nonpharmacological pain-relief technique involves massaging the abdomen or other areas during contractions?

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

    Which of the following factors contribute to pain during labor?

    <p>Pain tolerance</p> Signup and view all the answers

    Which fetal presentation is most likely to result in persistent and poorly relieved back pain during labor?

    <p>Occiput posterior</p> Signup and view all the answers

    Which childbirth preparation method emphasizes slow abdominal breathing and relaxation techniques?

    <p>Bradley method</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves massaging the abdomen or other areas during contractions?

    <p>Massage techniques</p> Signup and view all the answers

    What is the purpose of frequent changing of position during labor?

    <p>To increase blood flow to the uterus</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves applying firm pressure on the lower back to relieve back labor pain?

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

    What is the purpose of changing positions frequently during labor?

    <p>To relieve muscle fatigue and strain</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves massaging the abdomen or other areas during contractions?

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

    Which nonpharmacological technique promotes relaxation and reduces muscle tension during labor?

    <p>Relaxation techniques</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman contracting one group of muscles strongly and consciously relaxing all others?

    <p>Neuromuscular dissociation</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman responding to touch with relaxation?

    <p>Touch relaxation</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman's partner exerting pressure against a tendon or large muscle of the arm or leg, gradually increasing and then decreasing pressure to simulate the gradual increase, peak, and decrease in contraction strength?

    <p>Relaxation against pain</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves massaging the abdomen or other areas during contractions?

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

    Which of the following classes is NOT typically included in most childbirth preparation classes?

    <p>Postpartum classes</p> Signup and view all the answers

    Which nonpharmacological pain-relief technique involves the woman's partner exerting pressure against a tendon or large muscle of the arm or leg, gradually increasing and then decreasing pressure to simulate the gradual increase, peak, and decrease in contraction strength?

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

    What is the term for the minimum level of stimulation required for a person to perceive pain?

    <p>Pain threshold</p> Signup and view all the answers

    What is the recommended range for the Lamaze breathing technique in relation to the woman's baseline respiratory rate?

    <p>Twice the baseline respiratory rate</p> Signup and view all the answers

    Which of the following factors contribute to pain during labor?

    <p>Dilation and stretching of the cervix</p> Signup and view all the answers

    What is the relationship between pain threshold and pain tolerance?

    <p>Pain tolerance is higher than pain threshold</p> Signup and view all the answers

    What physical factors contribute to pain during labor?

    <p>Pressure of the fetus on pelvic structures</p> Signup and view all the answers

    What is the purpose of frequent changing of position during labor?

    <p>To decrease pain intensity</p> Signup and view all the answers

    Which technique is most effective if practiced before labor?

    <p>Breathing techniques</p> Signup and view all the answers

    What is the purpose of the cleansing breaths in breathing techniques?

    <p>To relax and focus on relaxing</p> Signup and view all the answers

    When are breathing techniques taught to a woman who has not had childbirth preparation classes?

    <p>As she needs them</p> Signup and view all the answers

    Which nonpharmacological technique promotes relaxation and reduces muscle tension during labor?

    <p>Massage techniques</p> Signup and view all the answers

    What is the recommended range for the Lamaze breathing technique in relation to the woman's baseline respiratory rate?

    <p>Slow-paced breathing</p> Signup and view all the answers

    What is one benefit of exercise during pregnancy?

    <p>Reduced pain during labor</p> Signup and view all the answers

    True or false: Television can provide background noise to reduce intrusive sounds during early labor.

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

    True or false: Breathing techniques should be practiced before labor to be most effective.

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

    True or false: The woman may become tired if she uses breathing techniques too early or if she moves to a more advanced technique sooner than necessary.

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

    True or false: Each breathing pattern begins and ends with a cleansing breath, which is a deep inspiration and expiration.

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

    True or false: Slow-paced breathing is a breathing technique used during the first stage of labor.

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

    True or false: The woman should begin slow-paced breathing when she can no longer walk or talk through a contraction.

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

    True or false: Each breathing technique is taught as the woman needs it if she has not had childbirth preparation classes.

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

    True or false: The cleansing breaths in breathing techniques help the woman relax and focus on relaxing.

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

    True or false: The purpose of frequent changing of position during labor is to provide pain relief.

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

    True or false: Each breathing technique begins and ends with a cleansing breath.

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

    True or false: Pregnant women are usually interested in how labor will feel and how they can manage the experience.

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

    True or false: Preparation for childbirth is not important.

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

    True or false: Various classes are offered to women during pregnancy by most hospitals and freestanding birth centers to help women adjust to pregnancy, cope with labor, and prepare for life with an infant.

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

    True or false: Women who plan a home birth usually do not prepare intensely because they want to avoid medications and other interventions associated with hospital births.

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

    True or false: Exercise during pregnancy has been shown to increase the rate of preterm birth and complications.

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

    True or false: Cesarean Birth Classes are designed to help women understand the reasons for vaginal birth after a cesarean (VBAC).

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

    True or false: Adolescent Childbirth Preparation Classes are tailored to the specific needs of pregnant adolescents.

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

    True or false: Regardless of the specific method taught, most childbirth preparation classes include information about cesarean birth.

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

    True or false: Pain during labor is an abnormal symptom of injury or illness.

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

    True or false: Pain threshold is the amount of pain one is willing to endure.

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

    True or false: Endorphins are natural body substances similar to morphine that decrease during pregnancy.

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

    True or false: Pelvic abnormalities can result in a shorter labor and less maternal fatigue.

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

    True or false: Effleurage is a technique that stimulates large-diameter nerve fibers and interferes with pain transmission during labor?

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

    True or false: Massaging in a specific pattern, such as circles or a figure eight, provides distraction during labor?

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

    True or false: Sacral pressure is a technique used to reduce the pain of back labor during childbirth?

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

    True or false: Thermal stimulation can be used to stimulate temperature receptors that interfere with pain transmission during labor?

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

    True or false: Fetal presentation and position can affect the effacement and dilation of the cervix during labor?

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

    True or false: Nonpharmacological pain control methods are important even if a woman receives medication or an anesthetic during labor?

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

    True or false: Nonpharmacological pain control methods carry no risk for allergy or adverse drug effects?

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

    True or false: Nonpharmacological pain control methods should be rehearsed before labor begins for best results?

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

    True or false: The Lamaze breathing technique should be slower than half of the woman’s baseline respiratory rate.

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

    True or false: Nonpharmacological pain-relief techniques promote relaxation and reduce muscle tension during labor.

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

    True or false: The purpose of thermal stimulation during labor is to apply heat directly to the cervix for pain relief.

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

    True or false: Diversion and distraction techniques during labor direct the woman's mind away from the pain.

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

    True or false: Television can provide background noise that reduces intrusive sounds during early labor.

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

    True or false: Breathing techniques are most effective if practiced before labor.

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

    True or false: The cleansing breath is a deep inspiration and expiration, similar to a deep sigh.

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

    True or false: Slow-paced breathing is a breathing technique used during the first stage of labor.

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

    True or false: The purpose of frequent changing of position during labor is to provide pain relief.

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

    True or false: The woman should begin slow-paced breathing when she can no longer walk or talk through a contraction.

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

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