A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?

Hypnosis, imagery, and slow chest breathing

Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary

Effleurage, ambulation, and frequent position changes

Counterpressure with a fist or tennis ball to the lower back

Answer and Explanation

The Correct Answer is D

A. Hypnosis, imagery, and slow chest breathing – Incorrect; while these techniques can help with general labor pain, they may not be effective for severe back pain due to fetal positioning.
B. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary – Incorrect; while support is important, it does not directly relieve back pain.
C. Effleurage, ambulation, and frequent position changes – Incorrect; these may help, but they do not directly address back labor.
D. Counterpressure with a fist or tennis ball to the lower back – Correct; back labor is often caused by occiput posterior fetal positioning, and counterpressure helps relieve pain by applying direct pressure to the sacrum.

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

Explanation

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.

A. Nesting B. Bloody show C. Lightening D. Effacement

Correct Answer is A

Explanation

A. Nesting – Correct; nesting instinct refers to a surge of energy in late pregnancy, leading the mother to prepare for the baby.

B. Bloody show – Incorrect; bloody show refers to mucus mixed with blood, a sign of cervical dilation.

C. Lightening – Incorrect; lightening refers to the baby dropping into the pelvis, making breathing easier but increasing pressure on the bladder.

D. Effacement – Incorrect; effacement is the thinning of the cervix, an essential part of labor but not related to nesting.

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A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

The provider notes a client may be close to labor when she reports more frequent Braxton Hicks contractions and preparing the nursery with the baby's furniture and clothes, an instinct that often begins at the end of the pregnancy known as

Correct Answer is A

Explanation

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