A nurse is assessing a client who is in active labor.The client reports back labor pains.
Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?

Teach the client patterned breathing techniques.

Encourage the support person to perform effleurage.

Encourage the support person to apply sacral counterpressure.

Teach the client to use guided imagery.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Patterned breathing techniques can help in managing pain by focusing on controlled breathing, reducing anxiety, and providing a distraction from the pain, but are not specifically targeting back labor pains.

Choice B rationale

Effleurage involves light circular strokes on the abdomen and can help in managing general labor pain, but may not be as effective specifically for back labor pains.

Choice C rationale

Sacral counterpressure involves applying steady pressure to the sacral area, which can help relieve pain caused by back labor by counteracting the discomfort experienced in this area.

Choice D rationale

Guided imagery involves using mental visualization to distract from pain and promote relaxation, but may not be as effective in relieving the specific pain associated with back labor.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"}}

Explanation

Preterm Labor

Preterm labor refers to labor that begins before 37 weeks of gestation. The key findings associated with preterm labor are:

Cervical effacement and dilation: The client is 100% effaced and 2 cm dilated.
Regular uterine contractions: The client is experiencing contractions every 3 minutes, lasting 60 seconds.
Bloody show: The presence of bloody mucus discharge is another sign of preterm labor.
Low backache: The client reports cramping and low back pain.

Preterm Prelabor Rupture of Membranes (PPROM)

PPROM refers to the rupture of membranes before labor begins and before 37 weeks of gestation. The key findings associated with PPROM are:

Vaginal discharge: The client reported urinary leakage earlier, which could be misinterpreted as amniotic fluid leakage. Clear mucus discharge can also be a sign of ruptured membranes.

A. Repeat the CST in 20 min. B. Administer an IV fluid bolus. C. Prepare the client for cesarean birth. D. Allow the labor to progress naturally.

Correct Answer is D

Explanation

Choice A rationale

Repeating the CST isn't necessary with a negative result, which indicates no significant uterine contractions affecting the fetus.

Choice B rationale

Administering an IV fluid bolus is not warranted by a negative CST result.

Choice C rationale

Preparing for a cesarean birth isn't necessary since a negative CST indicates no immediate fetal distress.

Choice D rationale

A negative CST indicates that there are no late decelerations, so the nurse should allow the labor to progress naturally.

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A nurse is assessing a client who is in active labor.The client reports back labor pains.Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"}}

Explanation

A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation.The results of the test indicate a negative CST.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is assessing a client who is in active labor.The client reports back labor pains.
Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?