A practical nurse is reinforcing education with a client on the benefits of support during labor.
Which of the following benefits should the nurse include in their teaching reinforcement? (Select All that Apply.)
Decrease in pain.
Improved experience.
Better fetal outcomes.
Improved client outcomes.
Correct Answer : A,B,C,D
Choice A rationale
Support during labor has been shown to significantly decrease the perception of pain. Continuous presence of a supportive individual, such as a doula or partner, provides comfort, encouragement, and various coping mechanisms, which can physiologically reduce stress hormone release and enhance the body's natural pain-modulating systems, leading to a less painful experience.
Choice B rationale
A supportive presence during labor contributes to an improved overall experience for the client. The emotional, physical, and informational support provided can alleviate anxiety, empower the client, and foster a sense of control and confidence, leading to a more positive and satisfying childbirth experience, often with lasting beneficial psychological impacts.
Choice C rationale
Support during labor can contribute to better fetal outcomes by reducing maternal stress and anxiety. Lower maternal stress levels can lead to improved uterine blood flow and oxygenation to the fetus. Additionally, continuous support can lead to fewer interventions, such as operative deliveries, which are associated with potential risks to the fetus.
Choice D rationale
Research indicates that continuous support during labor is associated with improved client outcomes. This includes a reduced likelihood of medical interventions, such as epidural anesthesia, synthetic oxytocin for augmentation, and cesarean sections. Enhanced emotional well-being and reduced maternal stress hormones also contribute to a more positive physiological response during labor.
Choice E rationale
Support during labor is known to decrease, not increase, anxiety. The presence of a supportive individual provides reassurance, reduces fear of the unknown, and offers comfort. This contributes to a calm environment, which can physiologically mitigate the stress response, thereby lowering anxiety levels and promoting a more relaxed labor progression for the client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Active peer interaction generally indicates healthy social development and positive self-esteem in adolescents. Engagement with peers often provides opportunities for validation, belonging, and the development of social skills, all of which contribute positively to an individual's self-perception and confidence, rather than signaling struggles with self-esteem.
Choice B rationale
Isolation and negative body image are significant warning signs of self-esteem issues. Isolation indicates a withdrawal from social engagement, potentially due to feelings of inadequacy or fear of judgment. A negative body image reflects dissatisfaction with one's physical appearance, often leading to feelings of shame, anxiety, and low self-worth, which are central to poor self-esteem.
Choice C rationale
Choosing healthy foods is typically associated with positive health behaviors and a sense of self-care, which can be indicative of a healthy self-image and good self-esteem. Individuals with high self-esteem are more likely to prioritize their well-being and make choices that benefit their physical and mental health.
Choice D rationale
Frequent tantrums are more characteristic of younger children struggling with emotional regulation rather than adolescents with self-esteem issues. While adolescents can exhibit emotional outbursts, prolonged and frequent tantrums are less specific to self-esteem and more indicative of broader emotional or behavioral dysregulation issues in this age group.
Correct Answer is A
Explanation
Choice A rationale
Ensuring the car seat is securely installed and properly buckled is paramount for infant safety. Correct installation prevents excessive movement of the car seat during a collision, and proper buckling ensures the infant is restrained effectively, reducing the risk of ejection or injury from impact forces.
Choice B rationale
Using an expired car seat or one that has been involved in a previous accident is highly dangerous. Over time, materials degrade, and the structural integrity of a car seat can be compromised after an accident, even if there are no visible signs of damage. Expired seats may not meet current safety standards.
Choice C rationale
Always placing the car seat in the front seat, facing forward, is incorrect and extremely dangerous. The front passenger airbag can deploy with significant force, causing severe or fatal injuries to an infant in a car seat. Infants and young children should always be in the back seat to mitigate this risk.
Choice D rationale
Placing the car seat in the middle of the back seat, facing forward, is incorrect for infants. Infants should always be in a rear-facing car seat until they meet the maximum height or weight limits for their rear-facing car seat, typically around 2 years of age or older. The middle back seat is generally safest for placement due to optimal crash protection.
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