1. Which phrase best describes neuromuscular dissociation?
a. Loosening taut muscles when touched by another person
b. Contracting and consciously releasing different muscle groups
c. Relaxing while someone is applying pressure against a tendon or large muscle
d. Relaxing the rest of the body while one group of muscles is strongly contracted - CORRECT
ANSWER✔✔D
2. A primipara client asks about possible support options for her during the labor process. She is
apprehensive that her family members will not be prepared to assist her during this time. Which
option would be most effective for this client?
a. Reassure the client that the labor and birth staff consists of highly trained nurses who are well
educated to take care of laboring clients, so that should be sufficient.
b. Encourage the client to take prepared childbirth classes with her husband because that
should provide the best support by a family member.
c. Provide information to the client about obtaining a doula during the labor process.
d. Tell the client that this is a normal feeling based on fear of the unknown and that it will
subside once she starts the labor process. - CORRECT ANSWER✔✔C
3. Which statement is incorrect regarding prepared childbirth education?
a. No use of anesthetics or drugs is to be administered to clients so they can have a natural
childbirth experience.
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b. Clients can take refresher courses if they have delivered within the last 2 years.
c. Prepared childbirth classes may differ slightly based on the available resources of health care
facilities.
d. Prepared childbirth classes are aimed at increasing awareness of the childbirth experience for
parents and significant others to promote better control of pain and decrease anxiety. -
CORRECT ANSWER✔✔A
4. A relaxation technique that can be used during the childbirth experience to decrease
maternal pain perception is:
A. using increased environmental stimulation as a method of distraction.
b. restricting family and friends from visiting during the labor period to keep the client focused
on breathing techniques.
c. medicating the client frequently to reduce pain perception.
d. assisting the client in breathing methods aimed at taking control of pain perception based on
the contraction pattern. - CORRECT ANSWER✔✔D
5. During the course of labor, a client has been having her labor coach rub her lower back to
relieve pain. After 30 minutes, the client complains that this method is no longer working and
becomes increasingly frustrated with the labor coach. The vaginal exam is 2 to 3 cm, 80%
effaced, and −1 station, membranes intact. Which option would you recommend to decrease
the client's perceived pain?
a. Have the labor coach change the touch location and begin gently massaging another area on
the back.
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b. Perform a vaginal exam to determine progress.
c. Have the labor coach step outside the room (LDR) and take a break because it is best to try
and defuse the confrontation.
d. Suggest to the client that perhaps the use of a narcotic opioid will relieve her pain and
facilitate the labor process. - CORRECT ANSWER✔✔A
6. Which technique would provide the best pain relief for a pregnant woman with an occiput
posterior position?
a. Neuromuscular disassociation
b. Effleurage
c. Psychoprophylaxis
d. Sacral pressure - CORRECT ANSWER✔✔D
7. The support person for your labor client has been applying gentle massage to the client's
upper back frequently over the past hour. Now, the labor client states that "it just isn't helping
anymore." Both the support person and labor client are becoming frustrated with each other's
inability to make things less stressful during the labor process. What would be the best nursing
response at this time?
a. Have the client change position and tell the support person to take a break.
b. Discuss the effects of habituation and suggest alternate measures that could be used to
relieve pain.
c. Advise the client that this may be the best time to ask for an epidural.
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