A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Which of the following statements by the client indicates an understanding of the teaching?
"The nurse will initiate acupuncture when I arrive at the unit."
"My nurse can teach me biofeedback at the beginning of labor."
"A transcutaneous electrical nerve stimulator will help with pelvic pressure."
"I can use my ultrasound picture as a focal point during contractions." .
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: Acupuncture is typically administered by a trained acupuncturist, not by the nurse. It is not commonly initiated upon arrival at the labor unit.
Choice B rationale: Biofeedback is a technique that usually requires prior training and practice; it is not typically taught for the first time at the beginning of labor.
Choice C rationale: Transcutaneous electrical nerve stimulation (TENS) can help manage back pain during labor but is not specifically used for pelvic pressure.
Choice D rationale: Using an ultrasound picture as a focal point during contractions is a common nonpharmacological pain management technique. Focal points help the client concentrate and manage pain through visualization and distraction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Explanation
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Correct Answer is A
Explanation
The correct answer is A. Uses a firm-bristled toothbrush increases the client's risk for injury because it can cause bleeding gums and oral mucosal damage in clients with pernicious anemia, who have reduced platelet count and impaired clotting. The other findings do not increase the risk for injury and may be beneficial for clients with pernicious anemia. Increased intake of green, leafy vegetables provides folic acid, which is essential for red blood cell production. Drinks 2,500 mL of fluid per day prevents dehydration and maintains blood volume. Wears a face mask around others reduces exposure to infections, which can be serious in clients with pernicious anemia, who have impaired immunity due to low white blood cell count.
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