Author Question: After change-of-shift report, the nurse assumes care of a multiparous patient in labor. The woman is ... (Read 89 times)

ahriuashd · **on:** Jun 27, 2018

After change-of-shift report, the nurse assumes care of a multiparous patient in labor. The woman is complaining of pain that radiates to her abdominal wall, lower back, and but-tocks and down her thighs.

Before implementing a plan of care, the nurse should under-stand that this type of pain is: a. Visceral.
b. Referred.
c. Somatic.
d. Afterpain.

Question 2

Why do peer relationships become more important during adolescence?

a. Adolescents dislike their parents.
b. Adolescents no longer need parental control.
c. They provide adolescents with a feeling of belonging.
d. They promote a sense of individuality in adolescents.

bfulkerson77 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Visceral pain is that which predominates in the first stage of labor. This pain originates from cervical changes, distention of the lower uterine segment, and uterine ischemia. Visceral pain is located over the lower portion of the abdomen.
B As labor progresses, the woman often experiences referred pain. This occurs when pain that originates in the uterus radiates to the abdominal wall, the lum-bosacral area of the back, the gluteal area, and thighs. The woman usually has pain only during a contraction and is free from pain between contractions.
C Somatic pain is described as intense, sharp, burning, and well localized. This results from stretching of the perineal tissues and the pelvic floor. This occurs during the second stage of labor.
D Pain experienced during the third stage of labor or afterward during the early postpartum period is uterine. This pain is very similar to that experienced in the first stage of labor.

Answer to Question 2

C
Feedback
A During adolescence, the parent/child relationship changes from one of
protection-dependency to one of mutual affection and quality.
B Parents continue to play an important role in the personal and health-related
decisions.
C The peer group serves as a strong support to teenagers, providing them with a
sense of belonging and a sense of strength and power.
D The peer group forms the transitional world between dependence and autonomy.