A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.

Misoprostol

Oxytocin

A barbiturate

Fentanyl

Answer and Explanation

The Correct Answer is C

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

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Correct Answer is B

Explanation

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." – Incorrect; this does not provide helpful education.
B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." – Correct; urinary frequency occurs in the first trimester due to hormonal changes and again in the third trimester due to fetal pressure on the bladder.
C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." – Incorrect; reducing fluid intake may cause dehydration.
D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone." – Incorrect; bladder tone does not significantly affect this symptom.

A. Counterpressure B. Cold therapy C. Acupuncture D. Effleurage

Correct Answer is C

Explanation

A. Counterpressure – Incorrect; nurses can perform counterpressure to help with back labor pain.

B. Cold therapy – Incorrect; ice packs or cold compresses can be applied without certification.

C. Acupuncture – Correct; acupuncture requires specialized training and certification.

D. Effleurage – Incorrect; light massage techniques can be taught and performed by nurses.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?

Correct Answer is C

Explanation

A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?

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.)

What is a transitional object in the hospital to a child?

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)

A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?

Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor?

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?