A nurse is caring for a client who is reporting severe pain during labor and is no longer wanting to follow their natural birth plan. Which of the following interventions should the nurse recognize as being supportive and appropriate for the partner at the bedside to take?
Select all that Apply.
Playing soothing music
Helping with breathing techniques
Telling the client not to take any medication.
Giving a back massage
Helping the client concentrate on their focal point.
Helping the client concentrate on their focal point.
Correct Answer : A,B,D,E
A. Playing soothing music: Promotes relaxation and distraction from pain.
B. Helping with breathing techniques: Encourages proper oxygenation and pain management.
C. Telling the client not to take any medication: This is not supportive; decisions about medication should respect the client’s wishes.
D. Giving a back massage: Relieves tension and provides comfort.
E. Helping the client concentrate on their focal point: Assists with distraction and relaxation during contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The nurse will initiate any prior to this test: Nurses do not initiate this test; it is ordered by a provider and performed using ultrasound and sometimes non-stress tests.
B. The test predicts fetal well-being in the third trimester: A biophysical profile (BPP) evaluates fetal health by assessing parameters such as fetal movements, breathing, amniotic fluid volume, and heart rate.
C. The client will need to be NPO prior to the test: There are no dietary restrictions for a BPP.
D. This test determines the estimated date of birth: BPP is not used to estimate gestational age or determine an EDB. It assesses fetal well-being.
Correct Answer is D
Explanation
A. The cervix is dilated 5 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines: The dilation is incorrectly identified as 5 cm.
B. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines: Effacement is expressed as a percentage, not in centimeters.
C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm above the ischial spines: Effacement and station are incorrectly interpreted.
D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm below the ischial spines: This interpretation is accurate, matching the documented findings.
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