Concerning a pregnant woman's anxiety and pain experience, nurses should be aware that:
1. even a mild anxiety must be treated.
2. strong anxiety increases tension, which increases pain, which in turn increases fear and anxiety, and so on.
3. anxiety might increase perception of pain but it doesn't affect the mechanism of labor.
4. women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity.
2
1. Incorrect. Mild anxiety is normal for a woman in labor and likely needs no special treat-ment other than the standard reassurances.
2. Correct. Anxiety and pain reinforce each other in a cycle.
3. Incorrect. Anxiety increases muscle tension and can ultimately build sufficiently to slow the progress of labor.
4. Incorrect. An anxious and painful first labor is, unfortunately, likely to carry over with expectations and memories into an anxiety-pain–inflicted experience the second pregnancy.
You might also like to view...
A client who was widowed 18 months ago is seen in the internal medicine office. She mentions that she started crying when she came across a picture of her late husband. An appropriate response for the nurse would be:
1. "It seems to be a long time for you to still be crying. Have you considered counseling?" 2. "It is very normal for anniversaries, pictures, and holidays to trigger feelings of loss." 3. "Do you have a pet? Pets often can help people move on from a loss." 4. "Are you keeping busy? You need to develop new interests to keep from crying."
The nurse needs to communicate information about a client's status to a physician. Which approach demonstrates assertive communication by the nurse?
1. "You need to check the laboratory results of the client in room 423." 2. "You should visit with the client's family about the upcoming procedure." 3. "We need to be more aware of the situation among the client and the client's family." 4. "I am concerned that the client does not have adequate pain management."
The nurse is caring for a client suspected of an opioid overdose. Which prescription should the nurse anticipate administering?
A. Methadone (Dolophine) B. Methylphenidate (Ritalin) C. Naloxone (Narcan) D. Bupropion (Zyban)
A child is diagnosed with lymphocytopenia. Which parental statements indicate understanding of this diagnosis? Select all that apply
1. "My child may be prone to allergic reactions." 2. "My child may have trouble initiating an inflammatory response." 3. "My child may require iron supplements to treat this disorder." 4. "My child may require further testing for leukemia." 5. "My child may have been exposed to tuberculosis."