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 C

A. Effleurage is used during the first stage of labor to promote relaxation and decrease pain, not during the pushing stage, so using it while pushing is ineffective.

B. Counterpressure is most effective when applied to the lower back or sacral area during contractions, not the upper abdomen. Applying pressure to the upper abdomen would not relieve labor pain effectively.

C. Hydrotherapy involves immersing the laboring client in warm water to promote relaxation and reduce discomfort. Maintaining the water temperature between 36–37°C is safe for both mother and fetus while providing soothing pain relief.

D. A TENS unit is typically applied to the lower back during labor, not the lower abdomen, to reduce contraction-related pain. Applying it to the abdomen is not the standard practice and may not be effective.

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Correct Answer is ["B","C","D"]

Explanation

B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.

C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.

D. Sucking motions suggest the newborn is preparing or ready to feed.

A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.

E. The Babinski reflex is a neurological reflex unrelated to hunger cues.

A. Give ondansetron IV to the client. B. Administer IV fluid bolus to the client. C. Delay the epidural until the client is dilated to 7 cm. D. Initiate oxygen via nonrebreather to support patterned breathing

Correct Answer is B

Explanation

A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.

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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

A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indication of hunger in newborns? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

Correct Answer is 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?

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