A nurse is discussing nonpharmacological pain management during labor with a client. Which of the following statements by the client indicates an understanding of the teaching?

"I should use effleurage when I'm pushing."

"My partner can apply counterpressure to my upper abdomen for 10 seconds at a time."

"The temperature of the water should be between 36 to 37 degrees Celsius when using hydrotherapy."

1 can apply a TENS unit to my lower abdomen to decrease the pain of my contractions."

Answer and Explanation

The Correct Answer is D

A. Effleurage (light abdominal stroking) is most helpful during early labor, not typically during pushing.
B. Counterpressure is usually applied to the lower back, not the upper abdomen, to relieve back labor pain.
C. The temperature for hydrotherapy (water immersion) is typically maintained around 37–38°C to ensure comfort and safety.
D. Using a TENS (transcutaneous electrical nerve stimulation) unit on the lower back or abdomen can help decrease labor pain by stimulating nerves and providing pain relief.

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Correct Answer is ["A","B"]

Explanation

Oral temperature 38.3°C (101°F)
Elevated temperature indicates maternal fever, which could suggest infection such as chorioamnionitis, especially concerning with ruptured membranes.
HGB 10 g/dL (normal > 11 g/dL)
Low hemoglobin indicates anemia, which could compromise oxygen delivery to the fetus and affect maternal health during labor.

Explanation for non-highlighted findings:

Heart rate 98/min: Slightly elevated but within normal range for labor.
Blood pressure 112/59 mm Hg: Normal blood pressure for pregnancy.
Uterine contractions every 3 mins moderate to palpation: Normal pattern for active labor.

A. The newborn's cord stump is still attached after 1 week. B. The newborn sleeps 16 hr a day. C. The newborn has fewer than four wet diapers in 24 hr D. The newborn has loose stools.

Correct Answer is C

Explanation

A. It is normal for the newborn’s cord stump to remain attached for up to 1-2 weeks.
B. Newborns typically sleep 16-20 hours per day, so this is expected.
C. Fewer than four wet diapers in 24 hours can indicate inadequate hydration or feeding and requires immediate evaluation.
D. Loose stools are common in breastfed newborns and are generally not concerning.

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A nurse is discussing nonpharmacological pain management during labor with a client. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B"]

Explanation

A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings?

Correct Answer is C

Explanation

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