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A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain.
Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

Perform Leopold maneuvers.

Apply counterpressure to the sacral area

Ambulate the client in the hallway

Administer 70-90% nitrous oxide mixed with oxygen

Answer and Explanation

Correct Answer : B,C,D,E

Applying counterpressure to the sacral area can help alleviate back pain during labor.

Ambulating the client in the hallway can help with pain management and facilitate labor progress.

Administering nitrous oxide mixed with oxygen can provide pain relief during labor.

Having the client sit upright can help with pain management and facilitate labor progress.

Choice A is incorrect because performing Leopold maneuvers is a technique used to assess fetal position and presentation and is not a pain management technique.

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Correct Answer is B

Explanation

A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.

Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.

Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.

Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.

A. Indirect Coombs test. B. Serum medication level. C. Liver enzymes. D. Uric acid level.

Correct Answer is B

Explanation

When a client is receiving magnesium sulfate by continuous IV infusion for preterm labor, it is important for the nurse to review the serum medication level to ensure that the client is receiving an appropriate dose and to monitor for signs of magnesium toxicity.
Choice A is not an answer because an indirect Coombs test is used to detect antibodies against red blood cells and is not relevant to magnesium sulfate therapy.
Choice C is not an answer because liver enzymes are not directly relevant to magnesium sulfate therapy.
Choice D is not an answer because uric acid levels are not directly relevant to magnesium sulfate therapy.

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A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

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A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain.
Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)