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 B
Explanation
A. A pain rating of 3 is relatively mild and does not indicate urinary retention.
B. A boggy, deviated fundus suggests bladder distention, which can occur when the bladder is full and displaces the uterus. This is an indication for straight catheterization to relieve urinary retention.
C. Moderate lochia rubra is expected 4 hours postpartum and does not indicate urinary retention.
D. While edema and bruising are common after delivery, they do not alone indicate a need for catheterization.
Correct Answer is B
Explanation
A. Decreasing IV infusion rate does not relieve umbilical cord prolapse.
B. Placing the client in a knee-chest position helps relieve pressure on the prolapsed umbilical cord, improving fetal oxygenation until delivery.
C. Instructing the client to push can worsen cord compression and is contraindicated.
D. The nurse should not attempt to replace the umbilical cord into the cervix; this is a sterile procedure typically performed by the provider.
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