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?
Massaging the client's back
Administering prescribed analgesic medication
Turning the client onto her left side
Encouraging the client to rest between contractions
The Correct Answer is A
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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Related Questions
Correct Answer is D
Explanation
A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.
B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).
C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.
D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.
Correct Answer is ["A","C","D"]
Explanation
A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).
B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.
C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.
D. The intensity of the pain – Correct; measured using a pain scale.
E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.
F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.
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