What intervention does the nurse perform to provide a relaxed environment for labor? quizlet

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What interventions does the nurse perform to provide a relaxed environment for labor?
What intervention does the nurse perform while caring for a laboring patient?
What interventions does the nurse perform to provide emotional support?
What intervention does the nurse provide to prevent respiratory alkalosis in the patient with hyperventilation?

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Sensory pain is greater for nulliparous women because their reproductive tract structures are less supple. Affective pain is greater for nulliparous women during the first stage but decreases for both nulliparous and multiparous during the second stage. Women with a history of substance abuse experience the same amount of pain as those without such a history. Nulliparous women have longer labors and therefore experience more fatigue.

Test-Taking Tip: Avoid choosing answers that use words such as always, never, must, all, and none. If you are confused about the question, read the choices, label them true or false, and choose the answer that is the odd one out (i.e., the one false one or the one true one). When a question is framed in the negative, such as "When assessing for pain, you should not," the false option is the correct choice.

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As labor progresses the woman often experiences referred pain. This occurs when pain that originates in the uterus radiates to the abdominal wall, the lumbosacral 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. 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. 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. 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.

Test-Taking Tip: On a test day, eat a normal meal before going to school. If the test is late in the morning, take a high-powered snack with you to eat 20 minutes before the examination. The brain works best when it has the glucose necessary for cellular function.

p. 381

During the first phase of labor, as contractions increase in frequency and intensity, the client must change breathing patterns to a modified-paced breathing technique. This breathing pattern is shallower and faster than the client's normal rate of breathing, but should not exceed twice the resting respiratory rate. Slow-paced breathing is performed at approximately half the normal breathing rate and is initiated when the client can no longer walk or talk through contractions. Patterned-paced breathing is suggested in the second phase of labor. It consists of panting breaths combined with soft blowing breaths at regular intervals. The patterns may vary; the 3:1 pattern is pant, pant, pant, blow and the 4:1 pattern is pant, pant, pant, pant, and blow.

p. 387

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What interventions does the nurse perform to provide a relaxed environment for labor?

A relaxed environment for labor is created by controlling sensory stimuli (e.g., light, noise, temperature) and reducing interruptions. Nurses should remain calm and unhurried in their approach and sit rather than stand at the bedside whenever possible (Creehan, 2008).

What intervention does the nurse perform while caring for a laboring patient?

These interventions can include bed rest/recumbent position, electronic fetal monitoring (EFM), limited oral intake during labor, frequent vaginal exams, inductions/augmentations, amniotomy, regional anesthesia, catheterization, ineffective pushing, episiotomy, instrumental vaginal birth, and cesarean surgery.

What interventions does the nurse perform to provide emotional support?

Starting a conversation, listening to patients and understanding their personal values assists the nurse in providing emotional support. Some topics and concerns that come up during discussions with patients and their friends and family will be outside the scope of your work.

What intervention does the nurse provide to prevent respiratory alkalosis in the patient with hyperventilation?

During acute episodes of hyperventilation caused by panic or anxiety, instruct the patient to breathe into a paper bag. This simple yet effective strategy allows the patient to breathe the exhaled air back into the lungs and restore normal levels of carbon dioxide.