A nurse is discussing nonpharmacological pain management during labor with a client. Which of the following statements by the client indicates an understanding of the teaching?
"I should use effleurage when I'm pushing."
"My partner can apply counterpressure to my upper abdomen for 10 seconds at a time."
"The temperature of the water should be between 36 to 37 degrees Celsius when using hydrotherapy."
1 can apply a TENS unit to my lower abdomen to decrease the pain of my contractions."
The Correct Answer is D
A. Effleurage (light abdominal stroking) is most helpful during early labor, not typically during pushing.
B. Counterpressure is usually applied to the lower back, not the upper abdomen, to relieve back labor pain.
C. The temperature for hydrotherapy (water immersion) is typically maintained around 37–38°C to ensure comfort and safety.
D. Using a TENS (transcutaneous electrical nerve stimulation) unit on the lower back or abdomen can help decrease labor pain by stimulating nerves and providing pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Changing a perineal pad only every 4 hours may indicate excessive bleeding or hemorrhage, which requires immediate assessment.
B. A urine output of 750 mL in 6 hours is within normal limits (about 125 mL/hr).
C. 1+ deep tendon reflexes indicate decreased reflexes, which is expected during magnesium sulfate therapy and generally not an immediate concern.
D. Abdominal cramping during breastfeeding is common due to uterine contractions and is usually not urgent.
Correct Answer is B
Explanation
A. Irrigating the insertion site with sterile water is not a standard part of the procedure.
B. Rh-negative clients are at risk for isoimmunization if fetal blood mixes with maternal blood during the procedure. Rh(D) immune globulin should be administered after the procedure to prevent Rh sensitization.
C. The client is usually positioned supine with a slight tilt to prevent vena cava compression, not strictly in a left lateral position.
D. Amniocentesis does not require the client to be NPO.
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