A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?

Hypnosis, imagery, and slow chest breathing

Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary

Effleurage, ambulation, and frequent position changes

Counterpressure with a fist or tennis ball to the lower back

Answer and Explanation

The Correct Answer is D

A. Hypnosis, imagery, and slow chest breathing – Incorrect; while these techniques can help with general labor pain, they may not be effective for severe back pain due to fetal positioning.
B. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary – Incorrect; while support is important, it does not directly relieve back pain.
C. Effleurage, ambulation, and frequent position changes – Incorrect; these may help, but they do not directly address back labor.
D. Counterpressure with a fist or tennis ball to the lower back – Correct; back labor is often caused by occiput posterior fetal positioning, and counterpressure helps relieve pain by applying direct pressure to the sacrum.

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Correct Answer is B

Explanation

A. 16 cm – Incorrect; this is too low for 24 weeks (expected range: ±2 cm of gestational age).
B. 26 cm – Correct; fundal height at 24 weeks is expected to be around 22-26 cm.
C. 30 cm – Incorrect; this is above the expected range and may indicate polyhydramnios or macrosomia.
D. 12 cm – Incorrect; this is too low and could indicate intrauterine growth restriction (IUGR).

A. Maturation of germ cells in ovaries B. Gender differentiation takes place C. Implantation begins D. Differentiation begins

Correct Answer is B

Explanation

A. Maturation of germ cells in ovaries – Incorrect; this occurs later in fetal development and after birth.

B. Gender differentiation takes place – Correct; the embryonic stage (weeks 3-8) is when gender differentiation occurs at around week 7-8.

C. Implantation begins – Incorrect; implantation happens in the blastocyst stage (week 1-2), before the embryonic stage.

D. Differentiation begins – Incorrect; cell differentiation starts earlier, in the blastocyst stage, before full embryonic development.

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A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?

Correct Answer is B

Explanation

What occurs in the embryonic stage of fetal development?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

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A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

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