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 C
Explanation
A. Scant lochia: Endometritis can cause increased lochia (vaginal discharge) that may be foul-smelling.
B. WBC count 9,000/mm3: An elevated white blood cell (WBC) count is usually seen in cases of infection, so this finding doesn't rule out endometritis.
C. Uterine tenderness: Endometritis is an infection of the uterine lining, which often results in uterine tenderness or pain.
D. Temperature 37.4°C (99.3°F): Although a slightly elevated temperature might be seen in endometritis, a higher fever is more common.
Correct Answer is A
Explanation
A. "You can bathe and dress your baby if you'd like to."
This statement gives the client the option to spend time with their baby if they wish to do so. It respects the client's autonomy and choice in how they want to handle this difficult situation.
B. Telling the client to name the baby may put unnecessary pressure on them during a challenging time.
C. Assuring the client that they can have another baby in the future might not be comforting at this moment, as they are grieving the loss of their current pregnancy.
D. Pressuring the client to hold the baby may not be appropriate, as everyone's grief process is different, and the client should be allowed to make their own choices regarding physical contact with the baby.
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