A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

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PN Maternal Newborn Online Practice 2023 A Questions

Question 1 of 5

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

Correct Answer: C

Rationale: The gate control theory of pain proposes that non-painful input can close the "gates" to painful input, which helps to control and reduce pain perception. Massage, such as massaging the client's back, is a non-pharmacological intervention that can help close the gates and reduce the perception of pain. By massaging the client's back, the nurse is applying this theory to help manage the client's labor pain. Administering analgesic medication (Choice A) is a pharmacological intervention and not specifically related to the gate control theory. Choices B and D are also beneficial nursing actions but do not directly relate to the gate control theory of pain.

Question 2 of 5

The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?

Correct Answer: C

Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.

Question 3 of 5

A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?

Correct Answer: C

Rationale: Administering a pneumococcal immunization to the newborn within 4 hours following birth is a crucial action to include in the plan of care for a pregnant client with HIV. Infants born to HIV-positive mothers are at higher risk for infections, including pneumococcal disease. Administering a pneumococcal vaccine shortly after birth helps protect the newborn from this serious infection. It is important to follow established guidelines for immunizations in newborns of HIV-positive mothers to optimize the infant's health outcomes.

Question 4 of 5

Which lifestyle factor is associated with an increased risk of developing breast cancer?

Correct Answer: D

Rationale:

Question 5 of 5

The nurse is assessing a client at 20 weeks' gestation who reports leg cramps. What is the most likely cause?

Correct Answer: D

Rationale: Compression of pelvic nerves from the growing uterus can cause leg cramps during pregnancy.

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