A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Encourage the client to void often.

Assist the client in remaining awake between contractions.

Minimize the client's position changes.

Limit the amount of time the support person remains in the room.

Answer and Explanation

The Correct Answer is A

A)   Correct - Encouraging the client to void often is important, as a full bladder can increase discomfort and interfere with labor progress.
B)   Incorrect- Remaining awake between contractions might not directly address pain management strategies.
C)   Incorrect- Position changes can help with pain management, so minimizing them would not be appropriate.
D)   Incorrect- The presence of a support person is often encouraged during labor, and there is no need to limit their time in the room.

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Correct Answer is A

Explanation

A) Correct - Keeping the car seat rear-facing is recommended until your baby reaches the age of 2 or the weight and height limits specified by the car seat manufacturer. This is to provide maximum protection to the baby's developing head and neck.
B) Incorrect- Placing the shoulder harness at the level of the baby's shoulders is important, but the rear-facing position is a higher priority.
C) Incorrect- The retainer clip should be positioned at the level of the baby's armpits to ensure proper placement of the harness straps.
D) Incorrect- The angle of recline is important to prevent the baby's head from flopping forward, but the rear-facing position itself is more crucial.

A. Hgb 9.5 g/dL B. Platelets 225,000/mm3 C. Glucose 60 mg/dL D. WBC 10,000/mm

Correct Answer is A

Explanation

A) Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B) Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C) Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.

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A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Nursing Test Bank

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