A client is discussing incorporating cultural practices into their pain management during labor with a nurse. Which of the following statements by the nurse is most appropriate?

"There are specific pain management options that you need to use

We will work with you to incorporate the practices that are safe for you and your fetus.-

You will need to discuss this with the provider."

It is better to use pain management options that have been researched."

Answer and Explanation

The Correct Answer is B

A) "There are specific pain management options that you need to use":
It’s important to respect the client's autonomy and work collaboratively to explore pain management options that align with their cultural values and medical safety. A more open, client-centered approach would be more beneficial.

B) "We will work with you to incorporate the practices that are safe for you and your fetus.":
This statement acknowledges the client's cultural preferences while ensuring that safety is the priority. The nurse is offering to collaborate with the client to explore pain management options that align with their values, within the scope of what is medically safe for both the mother and the fetus. It promotes a partnership approach, which is critical in maternity care.

C) "You will need to discuss this with the provider.":
While the provider may ultimately be involved in deciding specific pain management options, this statement dismisses the nurse's role in supporting the client’s cultural preferences. Nurses can play an active role in initiating and facilitating these conversations with clients and helping them express their preferences to the provider. It is not solely the provider's responsibility.

D) "It is better to use pain management options that have been researched.":
While evidence-based practices are important, this statement could be seen as dismissive of the client's cultural preferences. It fails to address the importance of individualized care and overlooks the possibility of integrating safe, culturally relevant pain management practices alongside researched methods. A balanced approach that respects both cultural values and medical safety is crucial.

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Correct Answer is B

Explanation

Naegele's Rule is a method used to estimate the due date of a pregnancy. It involves the following steps:

Start with the first day of the client's last menstrual period (LMP).
Add one year.
Subtract three months.
Add seven days.

Using the client's LMP of September 17:

Start with September 17.
Add one year: September 17, the following year.
Subtract three months: June 17 of the following year.
Add seven days: June 24.

A. Fetal baseline rate increasing at least 5 beats per minute B. A shallow deceleration occurring with the beginning of contractions C. Fetal heart rate declining late in contraction and remaining depressed D. Variable decelerations, too unpredictable to count

Correct Answer is C

Explanation

A) Fetal baseline rate increasing at least 5 beats per minute:
An increase in the fetal baseline heart rate of 5 beats per minute is typically not associated with uteroplacental insufficiency. A baseline increase could indicate early signs of fetal stimulation, such as from fetal movement or excitement, but it does not align with the characteristic response to uteroplacental insufficiency, which usually causes signs of distress like late decelerations or fetal heart rate variability.

B) A shallow deceleration occurring with the beginning of contractions:
A shallow deceleration with the onset of contractions may suggest early decelerations, which are typically caused by fetal head compression during labor. Early decelerations are not typically associated with uteroplacental insufficiency, which generally leads to later decelerations. Early decelerations are generally considered benign and do not indicate oxygen deprivation or fetal distress.

C) Fetal heart rate declining late in contraction and remaining depressed:
Late decelerations, where the fetal heart rate drops after the peak of a contraction and stays depressed afterward, are a classic sign of uteroplacental insufficiency. This pattern occurs due to reduced blood flow and oxygen delivery to the fetus during contractions, leading to fetal hypoxia. Late decelerations suggest compromised placental function and require prompt attention to prevent further fetal distress.

D) Variable decelerations, too unpredictable to count:
Variable decelerations, characterized by abrupt drops in fetal heart rate with varying timing and duration, are usually caused by umbilical cord compression. While these decelerations can indicate fetal distress, they are not directly linked to uteroplacental insufficiency. Uteroplacental insufficiency typically leads to late decelerations, not variable decelerations.

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A client is discussing incorporating cultural practices into their pain management during labor with a nurse. Which of the following statements by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of birth using Naegele's Rule?

Correct Answer is B

Explanation

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?

Correct Answer is C

Explanation

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