A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate?
"Your partner will apply upward pressure on your lower abdomen between contractions."
"Your partner will apply steady pressure with a tennis ball to your lower back."
"Your partner will apply pressure to the top of your uterus during contractions."
"Your partner will apply continuous, firm pressure between your thumb and index finger."
The Correct Answer is B
A. "Your partner will apply upward pressure on your lower abdomen between contractions" is not the correct technique for counterpressure. Counterpressure is specifically applied to the lower back.
B. "Your partner will apply steady pressure with a tennis ball to your lower back." Counterpressure, often referred to as "sacral pressure," is a technique used during labor to alleviate lower back pain and discomfort, which can be common during contractions. Using a tennis ball to apply steady pressure to the lower back can help relieve this discomfort.
C. "Your partner will apply pressure to the top of your uterus during contractions" is not counterpressure but rather fundal pressure, which is used to assess fetal position and aid in descent during the second stage of labor.
D. "Your partner will apply continuous, firm pressure between your thumb and index finger" does not relate to counterpressure during labor and is not a recognized technique for labor support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I won't apply perfumed lotion to my abdomen before the test."
- This statement is incorrect. Applying perfumed lotion to the abdomen is not recommended before an ultrasound, as it can interfere with the ultrasound gel's ability to make good contact with the skin. However, the client didn't choose this statement.
B. "I need to take a stool softener the night before the test."
- This statement is incorrect. Taking a stool softener is not necessary for an abdominal ultrasound. Stool softeners are usually used to relieve constipation or prepare for certain types of gastrointestinal procedures, not for abdominal ultrasounds.
C. "I can't have anything to eat after midnight."
- This statement is incorrect. Fasting after midnight is typically required for procedures that involve anesthesia or sedation, but it's not necessary for an abdominal ultrasound. You can usually eat normally before this type of ultrasound.
D. "I will drink water before the test until my bladder feels full."
- This statement is correct. Drinking water to fill the bladder before the test is often part of the preparation for an abdominal ultrasound. A full bladder can help provide better images of the pelvic organs. This is the statement that indicates an understanding of the teaching.
Correct Answer is D
Explanation
A. "Moderate variability of the fetal heart rate" is a reassuring sign, indicating that the fetus is tolerating labor well. It does not warrant discontinuing oxytocin.
B. "Nonrepetitive early decelerations" are also a reassuring sign and are typically not an indication to discontinue oxytocin. Early decelerations are typically benign and related to head compression during contractions.
C. "Six contractions in 10 min" may be within the acceptable range for uterine activity during labor. However, it's important to assess the duration and intensity of these contractions as well.
D. "Contractions last 60 seconds" on their own may not be an indication to discontinue oxytocin. The nurse should also assess the frequency and intensity of contractions to determine if they are causing uterine hyperstimulation. Uterine Hyperstimulation Occurs: Uterine hyperstimulation is defined by an excessive frequency, duration, or intensity of contractions. Generally, contractions that occur more frequently than 5 contractions in 10 minutes (one every 2 minutes) or contractions that last longer than 60-90 seconds can be concerning.
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