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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Fetal movement below normal may indicate compromised oxygenation or fetal distress. Reporting such observations is crucial for further assessment and timely intervention.
Choice B rationale
Consuming food and resting can increase glucose levels, potentially enhancing fetal movement. Monitoring for 1 hour helps to evaluate if decreased movement persists, indicating the need for further assessment.
Choice C rationale
Pregnant women should not lay prone for kick counts. This position can compress major blood vessels, reducing blood flow and oxygenation to the fetus. The left lateral position is preferred.
Choice D rationale
Reduced fetal movement can indicate decreased oxygenation in compromised fetuses. Monitoring fetal activity helps assess fetal well-being and identify potential hypoxia or distress.
Correct Answer is A
Explanation
Choice A rationale
Leopold's maneuvers help determine the fetus's presentation (head, breech) and position (left, right) within the uterus for optimal birth planning.
Choice B rationale
Cervical dilation is assessed through a vaginal exam, not through Leopold's maneuvers, which focus on external palpation.
Choice C rationale
Frequency and intensity of contractions are monitored using a tocodynamometer, not determined by Leopold's maneuvers.
Choice D rationale
Membrane rupture is assessed by inspecting fluid leakage or testing fluid, not by Leopold's maneuvers, which assess fetal positioning.
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