A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?
Choices:

The gate control theory states that pain perception is uniform and cannot be altered.

Pain is only perceived in the brain and cannot be influenced by external factors.

Pain signals can be blocked by stimulating other sensory nerves, like through massage or heat.

Pain is solely determined by the amount of tissue damage experienced.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The gate control theory suggests that pain perception is not uniform and can be modulated by non-painful stimuli, such as touch or temperature, influencing the pain pathways.

Choice B rationale

The theory emphasizes that pain perception can be influenced by external factors, including psychological and physical interventions, not solely confined to the brain.

Choice C rationale

Pain signals can be modulated by stimulating other sensory nerves. For instance, massage or heat can activate non-nociceptive fibers, blocking pain signals at the spinal cord level.

Choice D rationale

Pain perception is not solely determined by tissue damage. The gate control theory highlights the modulation of pain by psychological and physical factors, showing that pain is a complex experience.

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Correct Answer is B

Explanation

Choice A rationale

Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.

Choice B rationale

Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.

Choice C rationale

Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.

Choice D rationale

Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.

A. Perform sterile vaginal examination (SVE). B. Place the client in a side-lying position. C. Apply oxygen at 10 L/min via venturi mask. D. Initiate bolus of primary IV fluids. E. Increase the oxytocin infusion to 13 mu/min.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale: Performing a sterile vaginal examination (SVE) is important for assessing cervical dilation and effacement, but it does not address the immediate concern of a Category 3 fetal heart rate tracing, which indicates fetal distress and requires prompt intervention.

Choice B rationale: Placing the client in a side-lying position can improve uteroplacental blood flow and oxygenation to the fetus by relieving compression on the inferior vena cava and enhancing venous return, thereby reducing fetal distress observed in Category 3 tracings.

Choice C rationale: Applying oxygen at 10 L/min via a venturi mask increases maternal oxygenation, which can enhance oxygen delivery to the fetus. This intervention is crucial in addressing fetal distress and improving fetal oxygenation, as observed in Category 3 fetal heart rate tracings.

Choice D rationale: Initiating a bolus of primary IV fluids can improve maternal blood volume and circulation, thereby enhancing uteroplacental perfusion and fetal oxygenation. This intervention is important in managing Category 3 fetal heart rate tracings and reducing fetal distress.

Choice E rationale: Increasing the oxytocin infusion to 13 mu/min is not appropriate as it can lead to hyperstimulation of the uterus, reducing uteroplacental blood flow and exacerbating fetal distress. In Category 3 tracings, the oxytocin infusion should be discontinued to reduce contractions.

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A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?Choices:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?Choices:

Correct Answer is B

Explanation

A nurse is caring for a client who is 42 weeks of gestation in the labor and delivery unit. Exhibits Based on the assessment findings, which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?
Choices: