A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?
The gate control theory states that pain perception is uniform and cannot be altered.
Pain is only perceived in the brain and cannot be influenced by external factors.
Pain signals can be blocked by stimulating other sensory nerves, like through massage or heat.
Pain is solely determined by the amount of tissue damage experienced.
The Correct Answer is C
Choice A rationale
The gate control theory suggests that pain perception is not uniform and can be modulated by non-painful stimuli, such as touch or temperature, influencing the pain pathways.
Choice B rationale
The theory emphasizes that pain perception can be influenced by external factors, including psychological and physical interventions, not solely confined to the brain.
Choice C rationale
Pain signals can be modulated by stimulating other sensory nerves. For instance, massage or heat can activate non-nociceptive fibers, blocking pain signals at the spinal cord level.
Choice D rationale
Pain perception is not solely determined by tissue damage. The gate control theory highlights the modulation of pain by psychological and physical factors, showing that pain is a complex experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A positive contraction stress test shows that fetal heart rate decelerations occur with contractions, indicating potential issues with uteroplacental blood flow and not a smooth delivery.
Choice B rationale
A positive result is concerning and necessitates further monitoring and possible interventions to ensure fetal health, rather than being a normal finding.
Choice C rationale
A positive contraction stress test raises concerns about fetal well-being due to heart rate decelerations with contractions, which could indicate uteroplacental insufficiency.
Choice D rationale
Positive contraction stress test means the fetus experiences heart rate decelerations with contractions, suggesting uteroplacental insufficiency and potential risk for fetal compromise during labor.
Correct Answer is A
Explanation
Choice A rationale
Leopold’s maneuvers assess fetal presentation and position, aiding in determining optimal delivery mode. Accurate fetal positioning decreases labor complications and supports safe vaginal delivery. This non-invasive assessment is crucial for obstetric care.
Choice B rationale
Cervical dilation is best assessed through vaginal examination rather than Leopold’s maneuvers. Direct visualization and palpation provide a more precise measurement of dilation progress. Leopold’s maneuvers primarily focus on fetal position and presentation.
Choice C rationale
The frequency and intensity of contractions are monitored through external or internal fetal monitoring devices rather than Leopold’s maneuvers. These tools provide quantitative data on uterine activity, which is crucial for labor management.
Choice D rationale
Assessing whether membranes have ruptured involves a physical examination or diagnostic tests like nitrazine or fern tests, not Leopold’s maneuvers. These methods confirm membrane status, crucial for evaluating labor progression and infection risk.
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