A nurse is assisting a pregnant patient in labor who is experiencing discomfort. The nurse decides to use effleurage as a comfort measure. Which of the following best describes the technique of effleurage?
Counterpressure of the lower back.
Gentle, rhythmic tapping on the patient’s abdomen.
Rapid, firm kneading of the patient’s arms and legs.
Light, circular stroking movements on the patient’s abdomen.
The Correct Answer is D
Choice A rationale
Counterpressure of the lower back involves applying firm pressure to alleviate back pain, but it is not effleurage. Effleurage is focused on light, circular strokes.
Choice B rationale
Gentle, rhythmic tapping on the patient’s abdomen is not part of effleurage. Effleurage consists of smooth, circular movements rather than tapping motions.
Choice C rationale
Rapid, firm kneading of the patient’s arms and legs describes petrissage, a different massage technique. Effleurage is characterized by light, circular stroking movements on the abdomen.
Choice D rationale
Light, circular stroking movements on the patient’s abdomen describe effleurage. This technique is used to provide comfort and relaxation during labor by stimulating skin receptors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering oxytocin during a contraction stress test is to assess uteroplacental insufficiency, not to identify pain tolerance. The test evaluates fetal response to contractions.
Choice B rationale
Positive contraction stress tests are associated with poor fetal outcomes, indicating fetal distress during contractions due to inadequate placental perfusion.
Choice C rationale
A negative result in a contraction stress test indicates adequate placental function and fetal well-being, suggesting the fetus can tolerate labor without distress.
Choice D rationale
A positive test result suggests potential fetal compromise, including increased risk of fetal death, growth restriction, low Apgar scores, and need for C-section or resuscitation.
Correct Answer is B
Explanation
Choice A rationale
Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.
Choice B rationale
Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.
Choice C rationale
Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.
Choice D rationale
Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.
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