After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated.

What action will the nurse take?

Continue these methods until they work again.

Choose an alternate method of comfort promotion.

Ask the support person to leave the room temporarily.

Tell the client she needs to relax more.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Continuing the same comfort methods that have become ineffective is unlikely to help the client and may increase frustration. Adaptation to the client’s changing needs is necessary for effective care.
Choice B rationale
Choosing an alternate method of comfort promotion is appropriate as it addresses the client's current needs and helps to alleviate frustration. Alternate methods might include massage, repositioning, or hydrotherapy.
Choice C rationale
Asking the support person to leave the room may not address the client's comfort needs and could decrease her emotional support, potentially increasing stress and frustration rather than providing relief.
Choice D rationale
Telling the client to relax more is not supportive and does not provide a new strategy to promote comfort. It may be dismissive and can increase the client’s frustration and anxiety during labor.

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Correct Answer is C

Explanation

Choice A rationale
Bladder distention may cause discomfort and urinary issues but is not directly related to cervical dilation and effacement, which involve changes in the cervix to prepare for labor.
Choice B rationale
False labor involves irregular contractions that do not lead to cervical dilation and effacement. These are often called Braxton Hicks contractions and do not result in significant cervical changes.
Choice C rationale
The cervical mucus plug coming out, also known as the "bloody show," indicates that the cervix is beginning to dilate and efface, which are preparatory processes for labor to occur.
Choice D rationale
Lightening refers to the descent of the baby into the pelvis, which typically occurs in the later stages of pregnancy and does not directly involve cervical dilation and effacement processes.

A. Since you’re in your second trimester, you can drink as much as you like. B. Since you’re in your second trimester, there’s no problem with having one drink with dinner. C. Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy. D. One drink every night is too much. One drink three times a week should be fine.

Correct Answer is C

Explanation

Choice A rationale
Drinking as much as desired, even in the second trimester, can lead to fetal alcohol spectrum disorders. No safe amount of alcohol is known during pregnancy.
Choice B rationale
Despite being in the second trimester, no level of alcohol consumption is considered safe during pregnancy, as it poses a risk to fetal development.
Choice C rationale
The safest course is to abstain from alcohol throughout pregnancy as no specific amount has been deemed safe and it can cause irreversible harm to fetal development.
Choice D rationale
Even limiting alcohol consumption to three times a week poses a risk to fetal health, as any amount can potentially cause developmental issues.

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After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

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Naxlex Comprehensive Predictor Exams

Which occurrence is related to cervical dilation and effacement?

Correct Answer is C

Explanation

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her:

Correct Answer is C

Explanation

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

This procedure allows us to identify fetal lie, presentation, and engagement:

The fetal monitor tracing shown is associated with:

When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that.

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

A pregnant client at 22 weeks’ gestation has a hematocrit of 35%. Pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated.

What action will the nurse take?