What is considered non-pharmacological pain management from the list below? (please select all that apply)

Create a warm relaxing environment

Administering sacral counter pressure

Epidural injection

Effleurage

Answer and Explanation

Correct Answer : A,B,D

A. Create a warm relaxing environment: A warm and relaxing environment can help reduce stress and anxiety, contributing to pain relief during labor.

B. Administering sacral counterpressure: Sacral counterpressure, where pressure is applied to the lower back, is a non-pharmacological method used to relieve labor pain, particularly during back labor.

C. Epidural injection: An epidural injection is a pharmacological pain management technique, as it involves the administration of anesthetic drugs.

D. Effleurage: Effleurage is a light, circular massage technique that helps distract the mother from contraction pain, making it a non-pharmacological pain relief method.

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Correct Answer is B

Explanation

A. "We need to decrease the fluid in your uterus." An amnioinfusion adds sterile fluid to the uterus, not decreases it.

B. "The decreased fluid in the uterus is causing the baby to lie on the umbilical cord." Amnioinfusion is commonly performed when oligohydramnios (low amniotic fluid) is present, and it helps relieve pressure on the umbilical cord, which can result in fetal distress.

C. "You need extra amniotic fluid to prevent a dry birth." A "dry birth" is not a recognized medical term or condition related to amnioinfusion.

D. "This will replace fluid in your uterus to prevent an infection." Amnioinfusion is not used to prevent infection. Its purpose is typically to relieve umbilical cord compression or dilute meconium in the amniotic fluid.

A. Monitor the patient's urinary output. B. Monitor for tachysystole. C. Monitor the patient's coping mechanisms for labor. D. Monitor the IV site.

Correct Answer is B

Explanation

A. Monitor the patient's urinary output. While monitoring urinary output is important, it is not the primary concern when administering oxytocin for labor induction.

B. Monitor for tachysystole. Tachysystole (defined as more than 5 contractions in 10 minutes) is a potential complication of oxytocin administration. It can lead to fetal distress, so it is crucial to monitor for this condition.

C. Monitor the patient's coping mechanisms for labor. Monitoring coping mechanisms is important, but it is not the primary responsibility when administering oxytocin.

D. Monitor the IV site. While the IV site should be monitored for complications such as infiltration, it is not the primary concern with oxytocin administration.

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What is considered non-pharmacological pain management from the list below? (please select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:

Correct Answer is B

Explanation

A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to

Correct Answer is B

Explanation

What is measured from the beginning of one contraction to the beginning of the next contraction?

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?

An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?

A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

The 5 factors that affect and define the labor and birth process are:

Leopold's maneuvers are performed to:

During the active phase of labor, which of the following is a common sign that indicates progress?