ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Apply counterpressure during each contraction. In the latent phase of labor, when the cervix is dilated 2 cm, applying counterpressure on the client's back can help alleviate the back pain by providing physical support and reducing discomfort. This intervention does not involve medication or invasive procedures, making it safe and non-invasive. Administering terbutaline (choice
A) is not indicated for back pain in the latent phase of labor. Placing the client in a warm bath (choice
B) may provide some relief but is not as effective as direct counterpressure. Requesting a pudendal nerve block (choice
D) is unnecessary and invasive at this stage of labor.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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