A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

Massaging the client's back

Administering analgesic medications

Placing the client on supine position.

Reposition onto her left side

Answer and Explanation

The Correct Answer is A

a.   Massaging the client's back can help to close the "gate" for pain signals to reach the brain according to the Gate control theory of pain.
b.   Administering analgesic medications addresses pain but does not directly apply the principles of the Gate control theory.
c.   Placing the client on a supine position does not specifically address pain control according to the Gate control theory.
d.   Repositioning onto her left side may be done for fetal well-being but does not directly apply the principles of the Gate control theory.

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Correct Answer is D

Explanation

a. This is not the correct diagnosis for this situation.

b. This is not the correct diagnosis for this situation.

c. This is not the correct diagnosis for this situation.

d. The sudden onset of increased contraction frequency, dark red vaginal bleeding, and severe abdominal pain are characteristic of placental abruption.

A. Inform the test as reactive. B. Tum the client onto her left side and repeat the test C. Encourage the client to walk around and repeat the test D. d Notify to the client's provider and prepare for induction of labor. E. Offer the client a snack of orange juice and repeat the test

Correct Answer is A

Explanation

a. The nonstress test is considered reactive if there are two or more accelerations of the fetal heart rate (FHR) in a 20-minute period, lasting 15 seconds or longer and peaking at least 15 beats per minute above the baseline. The FHR baseline is between 110 and 160 beats per minute, with moderate variability. The test is considered nonreactive if these criteria are not met.
b. Turning the client onto her left side is not necessary, as the test is already reactive.
c. Encouraging the client to walk around is not necessary, as the test is already reactive.
d. Notifying the client's provider and preparing for induction of labor is not necessary, as the test is already reactive.
e. Offering the client a snack of orange juice is not necessary, as the test is already reactive.

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A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) baseline is around 130 beats/min, with four accelerations in 20 minutes, lasting 20 seconds each and the FHR increased more than 25 bpm. Which of the following actions should the nurse perform?

Correct Answer is A

Explanation

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