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 C
A. Effleurage is used during the first stage of labor to promote relaxation and decrease pain, not during the pushing stage, so using it while pushing is ineffective.
B. Counterpressure is most effective when applied to the lower back or sacral area during contractions, not the upper abdomen. Applying pressure to the upper abdomen would not relieve labor pain effectively.
C. Hydrotherapy involves immersing the laboring client in warm water to promote relaxation and reduce discomfort. Maintaining the water temperature between 36–37°C is safe for both mother and fetus while providing soothing pain relief.
D. A TENS unit is typically applied to the lower back during labor, not the lower abdomen, to reduce contraction-related pain. Applying it to the abdomen is not the standard practice and may not be effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A transvaginal fetal Doppler is not commonly used for continuous monitoring and is typically reserved for early pregnancy.
B. An external ultrasound transducer is appropriate for continuous fetal monitoring when the membranes are intact. It is noninvasive and safe for use during labor.
C. A DeLee Hillis fetoscope is used for intermittent auscultation, not continuous monitoring.
D. An internal fetal scalp electrode requires ruptured membranes and cervical dilation; it is contraindicated with intact membranes.
Correct Answer is ["B","D","E"]
Explanation
A. Polyhydramnios is not a complication of amniocentesis; it is a condition related to excess amniotic fluid.
B. Preterm labor can be triggered by the procedure due to uterine irritation or infection.
C. Urinary tract infection is unrelated to amniocentesis unless catheterization was performed, but it is not a direct complication.
D. Amnionitis (intra-amniotic infection) is a serious complication resulting from infection introduced during the procedure.
E. Leakage of amniotic fluid can occur if the amniotic sac is punctured improperly or does not seal properly after the procedure.
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