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 B
Explanation
A. The client's height – Incorrect; medication dosages in pediatrics are based primarily on weight (mg/kg), not height.
B. The safe dosage range – Correct; the nurse must verify that the prescribed dose falls within the recommended safe range to prevent underdosing or overdosing.
C. The client's age – Incorrect; while age may influence dosing, weight-based calculations are more accurate.
D. The client's gender – Incorrect; gender does not typically affect pediatric dosing calculations.
Correct Answer is D
Explanation
A. Hypnosis, imagery, and slow chest breathing – Incorrect; while these techniques can help with general labor pain, they may not be effective for severe back pain due to fetal positioning.
B. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary – Incorrect; while support is important, it does not directly relieve back pain.
C. Effleurage, ambulation, and frequent position changes – Incorrect; these may help, but they do not directly address back labor.
D. Counterpressure with a fist or tennis ball to the lower back – Correct; back labor is often caused by occiput posterior fetal positioning, and counterpressure helps relieve pain by applying direct pressure to the sacrum.
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