Which comfort measure should the nurse use to assist the laboring woman to relax?
Keep the room lights lit so that the patient and her coach can see everything.
Offer warm, wet cloths to use on the patient's face and neck
Palpate her filling bladder every 15 minutes.
Recommend frequent position changes.
The Correct Answer is D
A. Keep the room lights lit so that the patient and her coach can see everything: Bright lighting increases sensory stimulation and can heighten anxiety during labor. A calm, dim environment is more conducive to relaxation and parasympathetic nervous system activation.
B. Offer warm, wet cloths to use on the patient's face and neck: While this can be a nice comfort measure, it is usually a localized relief. It is not as effective as position changes for overall relaxation and progress. Many women actually prefer cool cloths because labor is physically demanding and makes them feel hot due to increased metabolism.
C. Palpate her filling bladder every 15 minutes: Frequent bladder assessment is unnecessary and intrusive unless urinary retention is suspected. Repeated palpation can interrupt coping efforts and increase discomfort rather than promote relaxation.
D. Recommend frequent position changes: Frequent position changes (every 20–30 minutes) are a primary comfort measure. They help the woman relax by relieving pressure on specific muscle groups, improving circulation, and helping the fetus rotate and descend. Movement reduces the perception of pain and prevents the mother from becoming physically fatigued in one spot.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "If I change my mind later, I know this procedure can be reversed": Although vasectomy reversals are technically possible, they are complex, expensive, and not always successful, particularly if significant time has passed since the procedure. Relying on reversal as a guarantee reflects a misunderstanding of the permanent nature of vasectomy.
B. "I should limit my usual activities for about a week": Postoperative activity restriction, including avoiding heavy lifting and strenuous exercise for approximately 7 days, helps prevent bleeding, swelling, and discomfort.
C. "We will need to use additional contraception initially": Sperm can remain in the vas deferens after the procedure, so alternative contraception must be used until follow-up semen analysis confirms azoospermia..
D. "I will use an ice pack to help with swelling": Applying ice to the scrotal area post-procedure reduces edema and discomfort by vasoconstriction, demonstrating proper postoperative care awareness.
Correct Answer is C
Explanation
A. Place a pillow under the child's head: Supporting the head can prevent minor trauma during a seizure, but it does not address immediate risks in the environment that could cause serious injury.
B. Loosen restrictive clothing: Loosening tight clothing can improve comfort and prevent airway restriction, yet it is secondary to ensuring the child’s safety from environmental hazards.
C. Clear the area of hazards: The priority during a seizure is to prevent injury. Removing sharp objects, furniture, or other obstacles protects the child from trauma caused by uncontrolled movements and ensures a safer environment while other supportive interventions are implemented.
D. Position the child on his side: Placing the child on their side helps maintain airway patency and reduces the risk of aspiration. While essential, it is most effective after the immediate environment is made safe, making hazard clearance the initial priority.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
