The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
Changing positions in bed
frequently asking for ice chips
Taking deep breaths
Facial grimacing
The Correct Answer is D
A. Changing positions in bed: This may indicate discomfort but not necessarily pain.
B. Frequently asking for ice chips: Suggests thirst or distraction, not pain.
C. Taking deep breaths: Often part of coping strategies, not a direct indicator of unrelieved pain.
D. Facial grimacing: A non-verbal cue strongly associated with pain or discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Massaging the client's back: Activates larger nerve fibers, blocking pain signals to the brain, which aligns with the gate control theory.
B. Administering prescribed analgesic medication: Provides pharmacological pain relief but does not align with gate control theory principles.
C. Turning the client onto her left side: May improve comfort and circulation but does not directly engage the gate control mechanism.
D. Encouraging the client to rest between contractions: Helpful for overall labor management but unrelated to gate control theory.
Correct Answer is D
Explanation
A. Promoting delivery of the placenta: The placenta is delivered after the infant, making this a lower priority.
B. Preventing the perineum from tearing: While important, protecting the infant during birth takes precedence.
C. Cutting the umbilical cord: Cutting the cord occurs after delivery and is not the immediate priority.
D. Supporting the infant during the birth: The safety of the infant during rapid delivery is the top priority.
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