A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions. Which of the following interventions should the nurse include in the plan?

"Assist the client's partner to apply counterpressure to the sacrum."

"Teach the client to hold their breath during contractions."

"Maintain the client on bed rest until active labor begins."

"Insert an indwelling urinary catheter."

Answer and Explanation

The Correct Answer is A

A. Counterpressure applied to the sacrum is effective for relieving low-back pain during labor. This technique can help alleviate discomfort associated with contractions and provide comfort to the laboring client.
B. Holding the breath during contractions is not recommended as it can decrease oxygen flow to the mother and baby. Breathing techniques that focus on relaxation and proper oxygenation are preferred.
C. Bed rest is not necessary for a client in early labor and can be counterproductive. Allowing the client to move and find comfortable positions is more beneficial during early labor.
D. An indwelling urinary catheter is not required in early labor unless there is a specific medical reason. Routine catheterization is not a standard part of early labor management.

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Correct Answer is D

Explanation

A. Kegel exercises strengthen pelvic floor muscles but do not alleviate afterpains, which are uterine contractions occurring postpartum.
B. Applying a cool compress to the abdomen may provide some relief, but it is not as effective as pain medication in reducing the discomfort associated with afterpains.
C. Placing the client in a side-lying position may provide comfort but does not specifically address the pain from uterine contractions.
D. Administering ibuprofen is effective for pain relief due to its anti-inflammatory properties, which help reduce the discomfort associated with afterpains by alleviating the uterine contractions.

A. "Prepare the client for an abdominal sonogram." B. "Limit the client's daily fluid intake." C. "Encourage the client to wear a bra that is loose fitting." D. "Encourage the client to continue to breastfeed."

Correct Answer is D

Explanation

A. An abdominal sonogram is not used to diagnose or manage mastitis. Mastitis is typically evaluated and managed through clinical examination and does not require imaging of the abdomen.
B. Limiting fluid intake is not recommended for managing mastitis. Adequate hydration is important to support the body's healing processes and help with milk production.
C. A bra should be supportive, not loose-fitting, to help manage mastitis. A well-fitting, supportive bra can help alleviate discomfort and provide proper support during breastfeeding.
D. Continuing to breastfeed or pumping milk is encouraged to help resolve mastitis. Frequent milk removal can help clear the infection and prevent complications, such as an abscess.

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A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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