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.
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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Related Questions
Correct Answer is B
Explanation
A: A dark line in the middle of the abdomen (linea nigra. is a normal pigment change during pregnancy and is not indicative of an infection.
B: Hormonal changes during pregnancy can lead to increased pigmentation, often called "mask of pregnancy" or chloasma. This can cause discoloration on the cheeks.
C: Swelling of fingers and face (edema. can occur during pregnancy due to fluid retention, but it is not universal for all pregnant individuals.
D: Burning during urination is more indicative of a urinary tract infection and should be reported to a healthcare provider.
Correct Answer is D
Explanation
A. administering misoprostol, may be indicated in postpartum care, but it is not the first priority in this situation. The immediate concern is excessive bleeding, which should be addressed first.
B. increasing maintenance IV fluid, is not the first action to take. While fluid management is important, it is not the priority when the client is experiencing excessive postpartum bleeding.
C. performing perineal hygiene, is important for overall hygiene, but it is not the first action to take when the client is experiencing excessive bleeding. Controlling bleeding takes precedence.
D. performing fundal assessment and massage, is the first priority. This helps assess for uterine atony (failure of the uterus to contract), a common cause of postpartum hemorrhage. Massage can stimulate uterine contractions and help control bleeding.
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