A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor.
Which of the following causes of pain by the newly licensed nurse would require follow-up?
Cervical dilation.
Stretching of the pelvic muscles.
Nerve stimulation.
Uterine contractions.
The Correct Answer is B
Choice A rationale
Cervical dilation is a source of visceral pain during labor due to the stretching and opening of the cervix, and it is not incorrect information.
Choice B rationale
Stretching of the pelvic muscles is incorrect because visceral pain during labor is typically associated with internal organs and not the stretching of pelvic muscles, which is more somatic pain.
Choice C rationale
Nerve stimulation is a cause of visceral pain as labor pain is transmitted through the nerves to the spinal cord and brain.
Choice D rationale
Uterine contractions are a major source of visceral pain during labor as they involve the powerful and rhythmic tightening and relaxing of the uterine muscles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While nipple pain can occur, it is not normal and often indicates incorrect latch or positioning. Proper education about breastfeeding techniques can help prevent and manage nipple pain, ensuring a more comfortable experience for the mother.
Choice B rationale
Routine care should be delayed until the first feeding is completed to ensure bonding and proper initiation of breastfeeding. Early skin-to-skin contact and uninterrupted first feeding are crucial for newborn adjustment and breastfeeding success.
Choice C rationale
Feeding based on crying can lead to delayed response to hunger cues. It is recommended to feed the baby when early hunger signs are observed, such as rooting, lip smacking, or hands to mouth, rather than waiting until they cry.
Choice D rationale
Newborns typically feed every 2-3 hours, not every hour. Feeding schedules should be flexible and based on the baby's hunger cues rather than a strict timetable. Overfeeding every hour can lead to discomfort and digestive issues in the newborn.
Correct Answer is A
Explanation
Choice A rationale
Painless, bright red vaginal bleeding at 36 weeks gestation is a classic sign of placenta previa, where the placenta is abnormally implanted in the lower uterine segment, covering the cervix, and causing bleeding without pain.
Choice B rationale
Threatened abortion is characterized by vaginal bleeding before 20 weeks of gestation with or without abdominal pain. At 36 weeks, the term would be inappropriate, and the symptoms do not match.
Choice C rationale
Abruptio placentae involves painful vaginal bleeding due to premature placental separation. The presence of pain differentiates it from placenta previa.
Choice D rationale
Preterm labor may present with contractions, cervical changes, and possible bleeding, but the key feature distinguishing it from placenta previa is the presence of uterine contractions and pain, which are absent in this scenario.
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