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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. An external fetal monitor will be used to monitor the FHR: Nonstress tests (NST) monitor the fetal heart rate (FHR) in response to fetal movements using external monitors.

B. The client will receive an ultrasound prior to the test: An ultrasound is not part of the standard procedure for an NST.

C. An IV will be initiated prior to the test: An IV is unnecessary; the test is noninvasive.

D. The client will be asked to stimulate her nipples for 5 min during the test: Nipple stimulation is part of a contraction stress test, not an NST.

A. "Given too soon, epidural anesthesia can cause maternal hypertension." B. “Given too soon, epidural anesthesia can prolong labor." C. "Given too soon, epidural anesthesia will delay rupture of fetal membranes.” D. “Given too soon, epidural anesthesia can cause fetal depression.”

Correct Answer is B

Explanation

A. Maternal hypertension: Epidurals are more likely to cause hypotension, not hypertension.

B. Prolong labor: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.

C. Delay rupture of membranes: Epidural anesthesia has no direct effect on the timing of membrane rupture.

D. Fetal depression: Modern epidurals rarely cause fetal depression when used appropriately.

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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.

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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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.