A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?
Encourage the client to void often.
Assist the client in remaining awake between contractions.
Minimize the client's position changes.
Limit the amount of time the support person remains in the room.
The Correct Answer is A
A) Correct - Encouraging the client to void often is important, as a full bladder can increase discomfort and interfere with labor progress.
B) Incorrect- Remaining awake between contractions might not directly address pain management strategies.
C) Incorrect- Position changes can help with pain management, so minimizing them would not be appropriate.
D) Incorrect- The presence of a support person is often encouraged during labor, and there is no need to limit their time in the room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect- Foul-smelling vaginal discharge might indicate infection but is not the priority over the presence of meconium-stained amniotic fluid.
B) Correct- Fetal heart rate is important to monitor, but the presence of meconium- stained amniotic fluid has higher priority. fetal heart tones 98/min, because this indicates fetal distress and requires immediate intervention.
C) Incorrect - Amniotic fluid with meconium noted could indicate fetal hypoxia or distress, but it is not always a sign of a problem and depends on other factors such as gestational age and fetal activity.
D) Incorrect- Maternal temperature elevation might indicate infection but is not the priority over assessing the condition of the amniotic fluid and the baby.
Correct Answer is B
Explanation
A) Incorrect- Kegel exercises are helpful for strengthening pelvic floor muscles but may not directly alleviate afterpains.
B) Correct - Afterpains are uterine contractions that occur after childbirth and can be uncomfortable, especially during breastfeeding. Ibuprofen is often used to relieve this discomfort.
C) Incorrect- Applying a cool compress might provide some relief, but pain relief medications like ibuprofen are more effective for afterpains.
D) Incorrect- While a side-lying position can be comfortable for breastfeeding, it may not directly address the afterpains.
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