A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?

TENS eliminates pain during a contraction.

TENS is contraindicated for clients who have gestational diabetes.

TENS intensity is manually increased during a contraction.

TENS is most useful during the third stage of labor.

Answer and Explanation

The Correct Answer is C

A.   TENS provides pain relief but does not eliminate pain completely during contractions.
B.   TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C.   TENS intensity should be increased during contractions to provide additional pain relief.
D.   TENS can be useful throughout labor, not just during the third stage.

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Correct Answer is A

Explanation

A. Recurrent variable decelerations of the fetal heart rate (FHR) are concerning and can indicate fetal distress.
B. Uterine contractions every 6 minutes may not provide effective progress in labor, but it is not indicative of fetal distress.
C. Uterine contractions lasting 30 to 45 seconds are within the normal range for labor.
D. Moderate variability of the FHR is a reassuring sign and indicates that the fetus is tolerating labor well.

A. A newborn who has blue hands and feet with an axillary temperature of 36.6°C (97.9°F) B. A newborn who has lost 12% of her birth weight C. A newborn who is 24 hr post-circumcision and has yellow exudate D. A newborn who has a blood glucose level of 63 mg/dL

Correct Answer is A

Explanation

A. The newborn with blue hands and feet (acrocyanosis) along with a normal axillary temperature of 36.6°C (97.9°F) could indicate a need for further assessment. While acrocyanosis can be normal in newborns, it is essential to monitor for any signs of respiratory distress or circulatory issues. Since this newborn is exhibiting a potential sign of compromised circulation, this infant should be attended to first.

B. A newborn who has lost 12% of her birth weight is concerning, as significant weight loss in newborns can indicate feeding problems or other underlying issues. However, this would not take precedence over potential acute issues like those indicated in option A.

C. A newborn who is 24 hours post-circumcision with yellow exudate is expected to have some discharge as part of the healing process. If the exudate is not foul-smelling and there are no signs of infection, this is typically a normal finding.

D. A newborn with a blood glucose level of 63 mg/dL is within the normal range for newborns, as acceptable levels are typically above 40 mg/dL. Therefore, this does not require immediate attention.

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A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?

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