A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain.
Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
Perform Leopold maneuvers.
Apply counterpressure to the sacral area
Ambulate the client in the hallway
Administer 70-90% nitrous oxide mixed with oxygen
Correct Answer : B,C,D,E
Applying counterpressure to the sacral area can help alleviate back pain during labor.
Ambulating the client in the hallway can help with pain management and facilitate labor progress.
Administering nitrous oxide mixed with oxygen can provide pain relief during labor.
Having the client sit upright can help with pain management and facilitate labor progress.
Choice A is incorrect because performing Leopold maneuvers is a technique used to assess fetal position and presentation and is not a pain management technique.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to have her provider refit her for a diaphragm.
After childbirth, a woman’s body undergoes changes that may affect the fit of her diaphragm.
It is recommended that a woman be refited for a diaphragm around 6 weeks postpartum, when the uterus and cervix have returned to normal size.
Choice A is incorrect because oil-based lubricants can damage the diaphragm and reduce its effectiveness.
Water-based lubricants should be used instead.
Choice B is incorrect because storing a diaphragm in sterile water is not necessary.
The diaphragm should be washed with mild soap and water after each use and air-dried before being stored in its case.
Choice C is incorrect because the diaphragm should be kept in place for at least 6 hours after intercourse, not 4 hours.
Correct Answer is A
Explanation
The nurse should inform the client that amniocentesis is a procedure that
determines if the baby has genetic or congenital disorders.
Choice B is not the best answer because amniocentesis is typically performed after 15 weeks of gestation.
Choice C is not the best answer because chorionic villus sampling (CVS) is a different procedure from amniocentesis.
Choice D is not the best answer because there is no age restriction for having an amniocentesis.
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