WorksheetsFinal quiz pt 2
Total questions: 20
Worksheet time: 10mins
The gate control theory of pain is best explained by which statement?
Pain is controlled only by medication.
Non-painful stimuli can block pain signals from reaching the brain.
Pain perception cannot be altered.
Pain intensity is determined by fetal position only.
A laboring client uses slow-paced breathing and visual fixation. These techniques help reduce pain by:
Increasing uterine contractions
Closing the pain gate through distraction
Reducing fetal descent
Halting labor progression
A nurse applies counter-pressure to the client’s lower back during labor. This non-pharmacologic technique is especially helpful for:
Breech presentation
Occiput-posterior fetal position
Maternal hypotension
Early latent labor only
Which nursing intervention is most consistent with the gate control theory?
Encouraging the client to lie still
Using warm packs or cold compresses
Increasing IV fluids
Giving additional oxytocin
A client reports severe pain during contractions. The nurse dims the lights, reduces noise, and provides a calming environment. This action works by:
Slowing labor
Reducing sensory input that worsens pain perception
Increasing fetal oxygenation
Closing the cervix
Before an epidural is placed, which assessment is priority?
Fetal heart rate
Maternal platelet count
Fundal height
Amniotic fluid volume
A client received an epidural 10 minutes ago and becomes hypotensive. What is the nurse’s first action?
Lay client supine
Increase IV fluids per protocol
Administer oxytocin
Prepare for delivery
After an epidural, which finding requires immediate provider notification?
Pruritus
BP 88/50
Decreased leg sensation
Mild shivering
The nurse is preparing a client for epidural placement. Which action is most important?
Encourage frequent ambulation
Administer a fluid bolus
Apply cold packs
Elevate the foot of the bed
A client with an epidural reports ringing in the ears and metallic taste. The nurse suspects:
Hyperventilation
Local anesthetic toxicity
Dehydration
Normal epidural side effect
The nurse notices late decelerations shortly after epidural placement. What is the priority action?
Increase oxytocin
Turn client to left side and increase fluids
Document and continue to monitor
Encourage pushing
Which nursing actions help reduce labor pain using non-pharmacologic techniques?
Massage
Music therapy
Heat or cold therapy
Trendelenburg position
Guided breathing
A client with an epidural reports inability to feel contractions or pressure to push. The nurse should:
Encourage bearing down
Notify anesthesia
Increase oxytocin rate
Have client stand and ambulate
Which statement by a laboring client shows understanding of the epidural?
It may lower my blood pressure, so they’ll monitor it closely.
I can walk around right after it’s placed.
It won’t affect my baby at all.
It will completely remove all my pain.
Which finding requires the nurse to hold epidural placement and notify the provider?
Temperature 99.5°F
Platelets 80,000
BP 132/82
Cervical dilation 3 cm
A nurse assists the client into the correct position for epidural insertion. Which position is appropriate?
Prone with knees bent
Sitting with back arched outward
Standing and leaning forward
Supine with legs straight
After receiving an epidural, the client cannot void. Best nursing action?
Encourage oral fluids
Perform straight catheterization per protocol
Provide warm compresses
Wait until after the next contraction
Which are signs of epidural-related complications that require provider notification?
Severe headache after delivery
Fever 101.3°F
Bilateral lower-leg numbness
Chest pain
Numbness only on one side
A laboring client using focused breathing becomes dizzy. What should the nurse instruct?
Stop breathing techniques
Slow the breathing rate
Begin rapid chest breathing
Push with contractions
Which nursing action enhances the effectiveness of an epidural during the pushing phase?
Keeping the client supine
Frequent position changes and coaching
Restricting all movement
Lowering the head of the bed completely
