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 A
Explanation
A. The client has a fundal height of 38 cm.
A fundal height measurement significantly greater than the gestational age could indicate excessive fetal growth, which is a concern in gestational diabetes mellitus (GDM). It may suggest macrosomia (large baby) and requires further evaluation and management.
B. Nonpitting pedal edema is often seen in pregnancy and is typically not a concerning finding unless it's associated with other symptoms like hypertension.
C. A fasting blood glucose level of 90 mg/dL is within the target range for a client with GDM, and it indicates good blood sugar control.
D. Reporting 12 fetal movements in 1 hour is a positive finding, as it indicates fetal well-being and is a reassuring sign.
Correct Answer is B
Explanation
A. Placing the client in a semi-Fowler's position for 1 hr after administration: While positioning can be important for some procedures, it is not a standard requirement for the administration of dinoprostone.
B. The nurse should verify that informed consent is obtained prior to the administration of any medication, including dinoprostone for labor induction. Informed consent is a legal and ethical requirement to ensure that the client understands the risks and benefits of the procedure or medication and gives their voluntary agreement.
C. Allowing the medication to reach room temperature prior to administration: The temperature of the medication is not typically a consideration for dinoprostone administration.
D. Instructing the client to avoid urinary elimination until after administration: This is not a standard requirement for dinoprostone administration, and it is important to encourage normal urinary elimination to prevent complications like urinary tract infections.
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