When caring for the laboring patient, the nurse determines that ...

[viki]

When caring for the laboring patient, the nurse determines that the fetus is located in the right occiput posterior (ROA). What will the nurse anticipate?
 
  a. Urinary retention
  b. Severe lower back pain
  c. A shorter labor process
  d. Nausea

Question 2

A laboring patient requests hot and cold applications be applied to her abdomen for pain control. How will this intervention act to control pain?
 
  a. By increasing endorphin production
  b. By facilitating effacement and dilation
  c. By producing increasing pain tolerance
  d. By stimulation of large nerve fibers

[xthemafja]

Answer to Question 1

ANS: B
If the fetal occiput is in a posterior pelvic quadrant, each contraction pushes it against the mother's sacrum, resulting in persistent and poorly relieved back pain (back labor). Labor is often longer with this fetal position.

Answer to Question 2

ANS: D
The gate control theory explains how pain impulses reach the brain for interpretation. It supports several nonpharmacological methods of pain control. According to this theory, pain is transmitted through small-diameter nerve fibers. However, the stimulation of large-diameter nerve fibers temporarily interferes with the conduction of impulses through small-diameter fibers. Techniques to stimulate large-diameter fibers and close the gate to painful impulses include massage, palm and fingertip pressure, and heat and cold applications.

[viki]

Excellent

[adammoses97]

TYSM