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?
Massaging the client's back
Administering prescribed analgesic medication
Turning the client onto her left side
Encouraging the client to rest between contractions
The Correct Answer is A
A. Massaging the client's back – Correct; gate control theory states that non-painful stimuli (e.g., massage, heat, cold) can block pain signals from reaching the brain.
B. Administering prescribed analgesic medication – Incorrect; this is pharmacologic pain relief, not part of gate control theory.
C. Turning the client onto her left side – Incorrect; this improves circulation but does not block pain signals.
D. Encouraging the client to rest between contractions – Incorrect; rest is important but does not directly affect pain perception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.
B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.
C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.
D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.
Correct Answer is B
Explanation
A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.
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