The nurse is caring for a client with contractions every 2-3 minutes, moderate to palpation, with a duration of 45-60 seconds. The client is having a difficult time breathing through contractions and is requesting something for pain. The client is 5 cm dilated, 80% effaced, and at a -1 station.
Which pain relief measure would be most effective for this client?
Epidural
Effleurage
Opioids
Sedatives
The Correct Answer is A
A. An epidural provides comprehensive pain relief by blocking sensation from the waist down, making it an effective option for clients experiencing intense pain during labor.
B. Effleurage (massage or light stroking) may provide some comfort but may not be sufficient for the described level of pain.
C. Opioids can provide pain relief but may not be as effective in managing the intense pain of contractions in active labor.
D. Sedatives may not be the best choice during active labor as they can have a sedating effect on both the mother and the baby, potentially affecting the progress of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. An epidural provides comprehensive pain relief by blocking sensation from the waist down, making it an effective option for clients experiencing intense pain during labor.
B. Effleurage (massage or light stroking) may provide some comfort but may not be sufficient for the described level of pain.
C. Opioids can provide pain relief but may not be as effective in managing the intense pain of contractions in active labor.
D. Sedatives may not be the best choice during active labor as they can have a sedating effect on both the mother and the baby, potentially affecting the progress of labor.
Correct Answer is B
Explanation
A. Artificial rupture of membranes involves breaking the amniotic sac to induce or augment labor but is not a method for cervical ripening.
B. Laminaria is a common mechanical method used to ripen the cervix before labor induction.
Laminaria tents are placed in the cervix to gradually dilate and soften it.
C. A catheter filled with sterile saline may be used for cervical ripening, but it is not the most common mechanical method.
D. Membrane stripping involves separating the amniotic membrane from the cervix, not a mechanical method for cervical ripening.
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