The nurse is caring for a client that is Gravida 2 Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication.
Which of the following is the most appropriate method of pain management at this time:
Ibuprofen IM injection.
Pudendal block.
Spinal block.
Epidural analgesia.
The Correct Answer is D
Choice A rationale
Ibuprofen IM injection is not typically used for labor pain due to its limited effectiveness for severe pain and potential side effects on the mother and fetus.
Choice B rationale
Pudendal block provides pain relief during the second stage of labor, particularly for episiotomy or forceps delivery. It is not typically used during the active phase of labor dilation.
Choice C rationale
Spinal block is often used for cesarean sections or late-stage labor but is not commonly used for pain management during early or active labor due to its short duration of action.
Choice D rationale
Epidural analgesia is the most effective and widely used method for pain management during active labor. It provides continuous pain relief by administering medication through a catheter placed in the epidural space.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
High blood glucose levels in early pregnancy increase the risk of congenital heart defects in the baby.
Choice B rationale
Hip dysplasia is not directly associated with maternal diabetes but can be a congenital condition regardless of maternal glucose control.
Choice C rationale
Necrotizing enterocolitis is more related to prematurity and not directly linked to maternal diabetes.
Choice D rationale
Port wine stains are vascular birthmarks and are not associated with maternal blood glucose levels. .
Correct Answer is D
Explanation
Choice A rationale
Reassuring the client and rapidly completing the admission does not address the urgent symptom of an urge to have a bowel movement, which can indicate imminent delivery. Immediate assessment of labor progress is necessary.
Choice B rationale
Assisting the client to the bathroom to have a bowel movement may not be appropriate because the urge to defecate can signify the onset of the second stage of labor (pushing stage). Moving to the bathroom could risk an unattended delivery.
Choice C rationale
Assessing the fetal heart rate and uterine contractions with a routine tracing is important, but it does not directly address the urgent symptom of the urge to have a bowel movement. Vaginal exam takes priority to assess labor progress.
Choice D rationale
Assessing her progress of labor with a vaginal exam is the priority because the urge to have a bowel movement can signify that the baby is descending in the birth canal. This is the most immediate and necessary action to determine if delivery is imminent.
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