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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased risk of vomiting – Incorrect; ORS does not increase vomiting risk. It is given in small amounts to prevent vomiting.
B. Alleviation of diarrhea symptoms – Incorrect; ORS does not stop diarrhea, but it prevents dehydration.
C. Decreased levels of electrolytes – Incorrect; ORS helps restore electrolytes, not decrease them.
D. Increased risk of dehydration – Incorrect; ORS prevents dehydration, which is its primary purpose.
Correct Answer is B
Explanation
A. Notify social services. – Incorrect; while reporting may be necessary, the nurse must first gather more information.
B. Ask the parents what caused the bruises. – Correct; the nurse should first assess by asking the parents in a nonjudgmental manner to determine if the bruises are accidental or suspicious for abuse.
C. Ask the toddler what caused the bruises. – Incorrect; toddlers may have limited verbal skills, and their responses may not be reliable.
D. Notify the provider. – Incorrect; while the provider should be informed, the nurse must first assess before escalating concerns.
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