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

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.

A. "Epidurals are best because they provide complete pain relief." B. "Most women need IV pain medications at some point during labor." C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." D. "There is no one best way. However, natural childbirth is best for the baby."

Correct Answer is C

Explanation

A. "Epidurals are best because they provide complete pain relief." – Incorrect; while epidurals provide significant pain relief, they may not be the best option for every client.
B. "Most women need IV pain medications at some point during labor." – Incorrect; pain management is individualized, and not all women require IV pain medication.
C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." – Correct; pain relief options should be tailored to the individual's preferences and medical condition.
D. "There is no one best way. However, natural childbirth is best for the baby." – Incorrect; while natural childbirth is an option, it is not necessarily the best choice for everyone.

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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?

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Naxlex Comprehensive Predictor Exams

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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Correct Answer is C

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