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A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

The quality of the pain

The client's allergies

The location of the pain

The intensity of the pain

The client's family history of pain

The client's blood pressure

Answer and Explanation

Correct Answer : A,C,D

A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).

B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.

C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.

D. The intensity of the pain – Correct; measured using a pain scale.

E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.

F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.

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Correct Answer is C

Explanation

A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.

B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.

C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.

D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.

A. The child develops new interests and hobbies B. The child starts sucking their thumb again C. The child becomes more independent in self-care activities D. The child experiences an increase in appetite

Correct Answer is B

Explanation

A. The child develops new interests and hobbies. – Incorrect; this is a sign of maturity, not regression.

B. The child starts sucking their thumb again. – Correct; regression is a temporary return to earlier behaviors (e.g., thumb-sucking, bedwetting) due to stress.

C. The child becomes more independent in self-care activities. – Incorrect; increased independence is a sign of maturity, not regression.

D. The child experiences an increase in appetite. – Incorrect; increased appetite is not a typical sign of regression.

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A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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