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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The tocodynamometer detects both the frequency and intensity of uterine contractions by measuring the pressure changes on the abdomen. It provides real-time data on contraction patterns during labor.
Choice B rationale
Repeating the frequency and intensity of contractions is redundant. The tocodynamometer accurately measures these parameters, providing essential information for managing labor progress.
Choice C rationale
While the tocodynamometer can infer uterine resting tone, it is not designed to measure hypertonus directly. Other methods, like intrauterine pressure catheters, offer more accurate assessments of uterine tone.
Choice D rationale
The tocodynamometer measures the duration of contractions, but it does not solely focus on this parameter. It captures comprehensive data, including frequency and intensity, for effective labor management.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Pitocin is used for augmentation of labor to increase uterine contractions' frequency and strength, enhancing labor progression in cases where labor is slow or stalled.
Choice B rationale
Pitocin does not increase prolactin receptor sites; instead, it focuses on enhancing uterine contractions during labor and addressing postpartum hemorrhage.
Choice C rationale
Pitocin is used for induction of labor to stimulate uterine contractions and initiate labor in women who need medical intervention for various reasons.
Choice D rationale
Pitocin helps decrease bleeding after delivery by promoting uterine contractions, which aid in reducing postpartum hemorrhage and expelling the placenta.
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