A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

"You will need to discuss this with the provider."

"There are specific pain management options that you need to use."

"It is better to use pain management options that have been researched."

"We will work with you to incorporate the practices that are safe for you and your fetus."

Answer and Explanation

The Correct Answer is D

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

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Correct Answer is C

Explanation

A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

A. Body weight B. Blood pressure C. respiratory rate D. Skin integrity

Correct Answer is A

Explanation

A. Body weight – Correct; the best indicator of fluid loss in infants is a change in weight because infants have higher water content and small changes can significantly impact hydration status.

B. Blood pressure – Incorrect; infants can maintain blood pressure until dehydration becomes severe.

C. Respiratory rate – Incorrect; respiratory rate may increase with dehydration but is not the most reliable indicator.

D. Skin integrity – Incorrect; poor skin turgor is a sign of dehydration, but weight loss is more objective and accurate.

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A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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