The best time to teach non-pharmacologic pain control methods to an unprepared laboring woman is during which phase?
Latent phase.
Active phase.
Transition phase.
Second stage.
The Correct Answer is A
Choice A rationale
The latent phase of labor is the longest and often the least intense phase, characterized by mild, infrequent contractions and gradual cervical dilation (0-3 cm). During this time, the woman is typically more receptive to learning and can concentrate better, making it the ideal phase to teach non-pharmacologic pain control methods such as breathing techniques, relaxation exercises, and positioning.
Choice B rationale
The active phase of labor (4-7 cm dilation) is characterized by more frequent and intense contractions, making it harder for the laboring woman to concentrate and learn new pain management techniques. Reinforcement of previously learned techniques is more appropriate at this stage.
Choice C rationale
The transition phase (8-10 cm dilation) is the most intense and shortest phase of the first stage of labor. The woman is likely experiencing significant discomfort and may have difficulty focusing on learning new pain control methods.
Choice D rationale
The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby. The focus during this stage is on pushing and delivering the baby, making it an inappropriate time to teach non-pharmacologic pain control methods for labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Rapid plasma regain is not a standard laboratory test associated with hyperemesis gravidarum. Hyperemesis gravidarum is characterized by severe nausea and vomiting leading to dehydration and electrolyte imbalances.
Choice B rationale
A urine culture is used to detect urinary tract infections, which are not a primary concern in hyperemesis gravidarum unless specifically indicated by symptoms of a UTI.
Choice C rationale
Prothrombin time (PT) and other coagulation studies assess blood clotting. While severe dehydration and malnutrition from hyperemesis gravidarum could theoretically affect coagulation, it is not a routine initial test to anticipate.
Choice D rationale
Urine ketones are a key laboratory finding in hyperemesis gravidarum. Due to persistent vomiting and inadequate oral intake, the body starts to break down fat for energy, leading to ketonuria. The presence of ketones in the urine indicates starvation and the need for intravenous fluids and nutritional support.
Correct Answer is B
Explanation
Choice A rationale
This notation indicates three pregnancies (G3), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3). While the number of living children is correct, the total number of pregnancies is underestimated by excluding the current pregnancy.
Choice B rationale
This notation accurately reflects four pregnancies (G4: the elective abortion, the daughter, the twins, and the current pregnancy), one term birth (T1: the daughter born at 40 weeks), two preterm births (P2: the twin boys born at 34 weeks), one abortion (A1: the elective abortion), and three living children (L3: the daughter and the twin boys).
Choice C rationale
This notation indicates three pregnancies (G3), one term birth (T1), one preterm birth (P1), one abortion (A1), and three living children (L3). The number of preterm births is incorrect, as there were two preterm births (the twins).
Choice D rationale
This notation indicates four pregnancies (G4), one term birth (T1), one preterm birth (P1), one abortion (A1), and three living children (L3). The number of preterm births is incorrect, as there were two preterm births (the twins).
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