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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?

A.

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

B.

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

C.

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

D.

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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Related Questions

Correct Answer is B

Explanation

A. Moderate alcohol intake is not a contraindication to COC use.
B. Breastfeeding in the first 6 weeks postpartum is a contraindication to combined oral contraceptives because estrogen can reduce milk supply and increase the risk of thrombosis.
C. High body weight is not an absolute contraindication, though efficacy may be reduced.
D. Age 25 alone is not a contraindication to COCs.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}

Explanation

Statement

Include

Not Include

"Your baby needs to be repositioned every 2 to 3 hours while under the lights."

✅

"Your baby's eyes will be covered with an eye shield during therapy."

✅

"Avoid applying lotion to your baby's skin."

✅

"Keep a hat on your baby during treatment."

✅

"We will give your baby glucose water between breast feedings.

✅

"Bilirubin is primarily excreted through the stool."

✅

The treatment lights can cause a transient skin rash on your baby."

✅

The treatment lights emit a significant amount of ultraviolet radiation.

✅

  • Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
  • Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
  • Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
  • Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
  • Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
  • Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
  • Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
  • Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.

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