In assessing a woman for pain and discomfort management during ...

[imanialler]

In assessing a woman for pain and discomfort management during labor, a nurse would most likely:
 
  1. have the woman use a visual analog scale (VAS) to determine her level of pain.
  2. note drowsiness as a sign the medications were working.
  3. interpret a woman's fist clenching as an indication she is mad at her male partner and the doctor.
  4. evaluate the woman's skin turgor to see whether she needs a gentle oil massage.

Question 2

A woman in labor is breathing into a mouthpiece just before the start of her regular contractions. As she inhales, a valve opens and gas is released. She continues to inhale the gas slowly and deeply until the contraction starts to subside.
 
  When the inhalation stops, the valve closes. The procedure is: 1. not used much anymore.
  2. likely to be in the second stage of labor but not the first.
  3. an application of nitrous oxide.
  4. a prelude to cesarean birth.

[parker125]

Answer to Question 1

1
1. Correct. The VAS is a way to add the woman's assessment of her pain to the nurse's observations.
2. Incorrect. Drowsiness is a side effect of medications, not usually (sedatives aside) a sign of effectiveness.
3. Incorrect. The fist clenching is likely a sign of apprehension that may need attention.
4. Incorrect. Skin turgor along with moisture of membranes and concentration of urine are signs that help the nurse evaluate hydration.

Answer to Question 2

3
1, 2, 4. Incorrect. This is an application of nitrous oxide, which could be done in either the first or second stage of labor (or both) as part of preparation for a vaginal birth.
3. Correct. This is an application of nitrous oxide, which could be done in either the first or second stage of labor (or both) as part of preparation for a vaginal birth.

[imanialler]

Excellent

[tkempin]

TYSM