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A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?

Counterpressure

Cold therapy

Acupuncture

Effleurage

Answer and Explanation

The Correct Answer is C

A. Counterpressure – Incorrect; nurses can perform counterpressure to help with back labor pain.

B. Cold therapy – Incorrect; ice packs or cold compresses can be applied without certification.

C. Acupuncture – Correct; acupuncture requires specialized training and certification.

D. Effleurage – Incorrect; light massage techniques can be taught and performed by nurses.

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Correct Answer is B

Explanation

A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.

A. Fundus soft, 2 fingerbreadths below the umbilicus B. Fundus firm, 2 fingerbreadths above the umbilicus C. Fundus soft, to the right of the umbilicus D. Fundus firm, at the level of the umbilicus

Correct Answer is D

Explanation

A. Fundus soft, 2 fingerbreadths below the umbilicus – Incorrect; the fundus should be firm, not soft, to prevent postpartum hemorrhage.

B. Fundus firm, 2 fingerbreadths above the umbilicus – Incorrect; a fundus above the umbilicus at 12 hours may indicate bladder distension or uterine atony.

C. Fundus soft, to the right of the umbilicus – Incorrect; a deviated and soft fundus suggests bladder distension, requiring intervention.

D. Fundus firm, at the level of the umbilicus – Correct; at 12 hours postpartum, the fundus should be firm and at the level of the umbilicus, gradually decreasing in height each day.

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A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

The ingestion of nonfood substances during pregnancy that can lead to iron deficiency anemia and other nutritional deficiencies and requires follow-up is known as?

A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?

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?

A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?