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
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 C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
Correct Answer is D
Explanation
a. Ectopic pregnancy occurs outside the uterus, so uterine enlargement is not expected.
b. Vaginal bleeding may occur but is not specific to ectopic pregnancy.
c. These symptoms are nonspecific and can occur in various conditions, including ectopic pregnancy, but they are not specific to it.
d. This is a classic symptom of ectopic pregnancy and occurs due to the stretching of the fallopian tube or rupture.
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