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.
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Correct Answer is D
Explanation
Choice A rationale
A longitudinal fetal lie, where the baby is aligned vertically with the mother’s spine, is the normal and optimal position for labor. It typically does not cause prolonged or difficult labor.
Choice B rationale
A gynecoid pelvis is considered the most favorable pelvic shape for vaginal delivery. It is roomy and allows for the easiest passage of the baby through the birth canal, reducing the likelihood of prolonged labor.
Choice C rationale
General flexion, where the baby’s chin is tucked to its chest and the limbs are flexed, is the optimal fetal attitude for birth. This position facilitates a smoother and shorter labor process.
Choice D rationale
Persistent occiput posterior (OP) position, where the baby’s head is down but facing the mother’s front, can result in a difficult and prolonged labor. This position often leads to severe back pain for the mother and may complicate the labor process.
Correct Answer is A
Explanation
Choice A rationale
Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.
Choice B rationale
Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.
Choice C rationale
Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.
Choice D rationale
Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.
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