A nurse is caring for a client who is in labor and requests nonpharmacological pain relief measures.
Which of the following actions should the nurse take? (Select all that apply.).
Encourage the client to use aromatherapy during contractions.
Apply sacral counterpressure to the client’s lower back.
Administer nitrous oxide to the client as needed.
Assist the client with effleurage on her abdomen.
Provide continuous labor support to the client.
Correct Answer : A,B,D,E
These are all nonpharmacological pain relief measures that the nurse can take for a client who is in labor.
• aromatherapy can help the client relax and cope with the pain by stimulating the olfactory system and influencing the limbic system.
• sacral counterpressure can relieve back pain caused by posterior fetal position by applying firm pressure on the sacrum during contractions.
• effleurage is a form of light rhythmic stroking of the abdomen that can distract the client from the pain and increase endorphin production.
• continuous labor support can reduce anxiety, fear, and stress, and enhance the client’s sense of control and confidence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
The nurse should consult with a substance use disorder specialist to determine the best pain management plan for the client who has opioid use disorder and is in labor.
The nurse should also monitor the client and the fetus closely for signs of withdrawal, which can occur due to reduced opioid intake during labor or due to the administration of opioid antagonists.
Correct Answer is A
Explanation
This is a description of spinal anesthesia, which is the safest form of anesthesia for cesarean delivery.Spinal anesthesia involves inserting a needle into the subarachnoid space and injecting a local anesthetic and/or a narcotic into the cerebrospinal fluid.
A lumbar puncture involves making a small puncture in the dura mater and allowing a small amount of cerebrospinal fluid to leak out for analysis.
A lumbar puncture does not involve injecting any medication or blocking any pain sensations.
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