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 B
Explanation
Choice A rationale
Prostaglandins are involved in labor but primarily act to ripen the cervix and induce uterine contractions, not prolong labor. They are produced by the fetus and placenta during pregnancy.
Choice B rationale
Catecholamines, such as epinephrine and norepinephrine, are released in response to stress and anxiety, leading to vasoconstriction, reduced blood flow to the uterus, and prolonged labor. They are produced by the adrenal glands.
Choice C rationale
Oxytocin is a hormone that stimulates uterine contractions and accelerates labor. It is often administered to induce or augment labor, rather than prolong it. It is produced in the hypothalamus.
Choice D rationale
Orexin, also known as hypocretin, is involved in regulating arousal, wakefulness, and appetite, but has no direct role in labor. It is produced in the hypothalamus.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Intrauterine growth restriction (IUGR) is an indication for a contraction stress test. It assesses fetal response to uterine contractions, identifying potential placental insufficiency.
Choice B rationale
A normal biophysical profile indicates no need for a contraction stress test. It assesses fetal well-being, and normal results suggest no immediate concerns.
Choice C rationale
Placental abruption is a contraindication for a contraction stress test. Inducing contractions can exacerbate placental separation, risking maternal and fetal health.
Choice D rationale
Decreased fetal movements warrant a contraction stress test. It evaluates fetal response to contractions, detecting possible hypoxia or compromised fetal condition.
Choice E rationale
Post-term pregnancy (>42 weeks) is an indication for a contraction stress test. It assesses placental function and fetal well-being as prolonged gestation increases risks.
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