Obstetric Nurse Test Obstetric Nurse Pain Management in Labor

Question 1

Which method of analgesia provides the most complete pain relief during active labor?

Accepted Answer

Epidural analgesia

Answer

IV opioid analgesia

Answer

Nitrous oxide inhalation

Answer

Intrathecal opioids alone

Question 2

Before epidural placement in a laboring patient, which assessment is most critical for patient safety?

Accepted Answer

Platelet count and coagulation status

Answer

Cervical dilation

Answer

Blood glucose level

Answer

Urine protein level

Question 3

A laboring patient received IV fentanyl 50 mcg 20 minutes ago. Which assessment is the nurse's highest priority?

Accepted Answer

Maternal respiratory rate and sedation level

Answer

Cervical dilation progress

Answer

Contraction frequency and duration

Answer

Fetal station

Question 4

A patient's blood pressure drops to 88/54 mmHg immediately after epidural analgesia is initiated. The priority nursing intervention is:

Accepted Answer

Increase IV fluid rate and position patient in left lateral tilt

Answer

Administer IV epinephrine 1 mg immediately

Answer

Discontinue the epidural catheter

Answer

Administer naloxone IV

Question 5

Which condition is a contraindication to epidural analgesia during labor?

Accepted Answer

Active coagulopathy or thrombocytopenia below 70,000/mm³

Answer

Nulliparity at term

Answer

Cervical dilation greater than 6 cm

Answer

Gestational age of 37 weeks

Question 6

Which non-pharmacological labor pain relief technique involves applying firm pressure to the sacral area during contractions?

Accepted Answer

Counter-pressure

Answer

Effleurage

Answer

Hydrotherapy

Answer

Acupuncture

Question 7

Which medication is used to reverse opioid-induced respiratory depression in a laboring patient or newborn?

Accepted Answer

Naloxone (Narcan)

Answer

Flumazenil (Romazicon)

Answer

Neostigmine

Answer

Atropine