A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?

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Maternal Newborn Proctored ATI Questions

Question 1 of 5

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?

Correct Answer: A

Rationale: Assisting the client into a squatting position can help relieve pain and discomfort during labor. Squatting can open up the pelvis, allowing the baby to descend and progress through the birth canal more effectively. This position can also help with gravity-assisted delivery, decreasing the pressure on the mother's back and helping to reduce labor pains. Encouraging various positions during labor can provide comfort and promote optimal positioning for delivery.

Question 2 of 5

The nurse is caring for a client with gestational hypertension. What symptom should be reported immediately?

Correct Answer: A

Rationale: Headache unrelieved by medication may indicate worsening gestational hypertension or preeclampsia.

Question 3 of 5

The nurse knows that contraindication of the induction of labor includes:

Correct Answer: A

Rationale: Placenta previa is a contraindication for the induction of labor because the placenta partially or completely covers the cervix. Inducing labor in this situation can lead to complications such as excessive bleeding and compromised blood flow to the baby. Therefore, it is important to avoid inducing labor in cases of placenta previa to ensure the safety of both the mother and the baby.

Question 4 of 5

The nurse is monitoring a client receiving oxytocin for labor induction. What finding requires the nurse to stop the infusion?

Correct Answer: B

Rationale: A fetal heart rate of 100 bpm indicates bradycardia and requires immediate discontinuation of oxytocin.

Question 5 of 5

A client is experiencing uterine atony after delivery. What is the nurse's first action?

Correct Answer: A

Rationale: Fundal massage stimulates uterine contraction and is the initial response to uterine atony to prevent hemorrhage.

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