Free NCLEX-RN Exam Braindumps (page: 67)

Page 67 of 431

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

  1. "Keep breathing with your abdominal muscles as long as you can."
  2. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16­20 times a minute with shallow chest breaths."
  3. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
  4. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

Answer(s): B

Explanation:

(A) Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing. (B) In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective. (C) It is important to assume a comfortable position in labor, but the Lamazeprepared laboring woman is taught to breathe with her chest, not abdominal, muscles. (D) When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6­9 breaths/min.



A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

  1. "Keep breathing with your abdominal muscles as long as you can."
  2. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16­20 times a minute with shallow chest breaths."
  3. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
  4. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

Answer(s): B

Explanation:

(A) Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing. (B) In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective. (C) It is important to assume a comfortable position in labor, but the Lamazeprepared laboring woman is taught to breathe with her chest, not abdominal, muscles. (D) When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6­9 breaths/min.



The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back. The nurse explains that this is to avoid "vena caval syndrome," a condition which:

  1. Occurs when blood pressure increases sharply with changes in position
  2. Results when blood flow from the extremities is blocked or slowed
  3. Is seen mainly in first pregnancies
  4. May require medication if positioning does not help

Answer(s): B

Explanation:

(A) Blood pressure changes are predominantly due to pressure of the gravid uterus. (B) Pressure of the gravid uterus on the inferior vena cava decreases blood return from lower extremities. (C) Inferior vena cava syndrome is experienced in the latter months of pregnancy regardless of parity. (D) There are no medications useful in the treatment of interior vena cava syndrome; alleviating pressure by position changes is effective.



The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back. The nurse explains that this is to avoid "vena caval syndrome," a condition which:

  1. Occurs when blood pressure increases sharply with changes in position
  2. Results when blood flow from the extremities is blocked or slowed
  3. Is seen mainly in first pregnancies
  4. May require medication if positioning does not help

Answer(s): B

Explanation:

(A) Blood pressure changes are predominantly due to pressure of the gravid uterus. (B) Pressure of the gravid uterus on the inferior vena cava decreases blood return from lower extremities. (C) Inferior vena cava syndrome is experienced in the latter months of pregnancy regardless of parity. (D) There are no medications useful in the treatment of interior vena cava syndrome; alleviating pressure by position changes is effective.



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