Try Naxlex NCLEX-RN (Free-Trial)

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

The quality of the pain

The client's allergies

The location of the pain

The intensity of the pain

The client's family history of pain

The client's blood pressure

Answer and Explanation

Correct Answer : A,C,D

A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).

B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.

C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.

D. The intensity of the pain – Correct; measured using a pain scale.

E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.

F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. "I am going to listen to your tic tock." – Correct; using child-friendly language helps reduce fear and anxiety.

B. "Can I listen to how you are breathing?" – Incorrect; although polite, it does not make the procedure less intimidating for a toddler.

C. "I am going to take your blood pressure now with a big hug." – Correct; describing the blood pressure cuff as a hug makes the procedure less scary.

D. "Can you stand very still while I feel how warm you are?" – Incorrect; this is not developmentally appropriate, as toddlers may not understand instructions well.

A. 6 cm dilated and 80% effaced B. 8 cm dilated and 100% effaced C. 5 cm dilated and 70% effaced D. Unmeasurable

Correct Answer is B

Explanation

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is ["A","C"]

Explanation

A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?

Correct Answer is B

Explanation

The ingestion of nonfood substances during pregnancy that can lead to iron deficiency anemia and other nutritional deficiencies and requires follow-up is known as?

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor?

A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)

A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

The client is 16 weeks pregnant. If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?