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 ["1"]

Explanation

To calculate the correct dosage:

Convert the prescribed dose (100 mcg) to milligrams:
- 1 mg = 1000 mcg, so 100 mcg = 0.1 mg.
The available tablets are 0.1 mg each.
The prescribed dose is 0.1 mg, and the tablet strength is also 0.1 mg. Therefore, the nurse needs to administer 1 tablet.

A. Massaging the client's back B. Administering prescribed analgesic medication C. Turning the client onto her left side D. Encouraging the client to rest between contractions

Correct Answer is A

Explanation

A. Massaging the client's back – Correct; gate control theory states that non-painful stimuli (e.g., massage, heat, cold) can block pain signals from reaching the brain.

B. Administering prescribed analgesic medication – Incorrect; this is pharmacologic pain relief, not part of gate control theory.

C. Turning the client onto her left side – Incorrect; this improves circulation but does not block pain signals.

D. Encouraging the client to rest between contractions – Incorrect; rest is important but does not directly affect pain perception.

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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

An adolescent diagnosed with hypothyroidism is prescribed Levothyroxine 100 mcg po daily. The medication is supplied in 0.1mg tablets. How much should the nurse administer?(Use a leading zero if it applies, do not use a trailing zero, Round to a whole number)

Correct Answer is ["1"]

Explanation

A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?

Correct Answer is A

Explanation

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