After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated.

What action will the nurse take?

Continue these methods until they work again.

Choose an alternate method of comfort promotion.

Ask the support person to leave the room temporarily.

Tell the client she needs to relax more.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Continuing the same comfort methods that have become ineffective is unlikely to help the client and may increase frustration. Adaptation to the client’s changing needs is necessary for effective care.
Choice B rationale
Choosing an alternate method of comfort promotion is appropriate as it addresses the client's current needs and helps to alleviate frustration. Alternate methods might include massage, repositioning, or hydrotherapy.
Choice C rationale
Asking the support person to leave the room may not address the client's comfort needs and could decrease her emotional support, potentially increasing stress and frustration rather than providing relief.
Choice D rationale
Telling the client to relax more is not supportive and does not provide a new strategy to promote comfort. It may be dismissive and can increase the client’s frustration and anxiety during labor.

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Correct Answer is A

Explanation

Choice A rationale
Indoor cats can carry Toxoplasma gondii, the parasite that causes toxoplasmosis. Exposure to cat feces increases the risk of infection, which can cross the placenta and harm the fetus.
Choice B rationale
Outdoor dogs do not pose a significant risk for toxoplasmosis as the disease is primarily associated with cat feces. The primary concern is soil contamination from infected cats.
Choice C rationale
Pet turtles do not carry Toxoplasma gondii. The primary zoonotic concern with turtles is Salmonella, not toxoplasmosis, which does not affect pregnancy in the same way.
Choice D rationale
Horses are not carriers of Toxoplasma gondii. They are not a source of infection for toxoplasmosis, and there is no increased risk associated with having a horse during pregnancy.

A. Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR). B. Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating. C. In pregnancy, the woman’s height is not a factor in determining her target weight. D. Obese women may have health concerns, but the risk of delivering a child with major congenital defects is the same as with women of normal weight.

Correct Answer is A

Explanation

Choice A rationale
Inadequate weight gain during pregnancy can lead to intrauterine growth restriction (IUGR), where the fetus does not grow as expected.
Choice B rationale
Excess weight gain is not solely due to overeating; it can result from edema, gestational diabetes, or other metabolic factors.
Choice C rationale
Height is a factor in determining a pregnant woman’s target weight range, influencing the overall recommended weight gain.
Choice D rationale
Obese women have higher risks of complications, including gestational diabetes and hypertensive disorders, differing from normal weight women.

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After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?

Correct Answer is A

Explanation

With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Correct Answer is A

Explanation

The nurse caring for the laboring woman should know that meconium is produced by:

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

After the nurse completes nutritional counseling for a pregnant woman, she asks the client to repeat the instructions to assess the client’s understanding. Which statement indicates that the client understands the role of protein in her pregnancy?

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

The client has been having contractions every 5 minutes for 7 hours. Which factor would the nurse use to determine if this is true labor?

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated.

What action will the nurse take?