A woman is in the first stage of labor. The nurse would encourage ...

[tfester]

A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?
 
  A) Supine
  B) Lithotomy
  C) Upright
  D) Kneechest

Question 2

The nurse is caring for a child who has been admitted for a sickle cell crisis. To provide adequate pain management, what should the nurse do initially?
 
  A) Administer NSAIDs as ordered.
  B) Use guided imagery and therapeutic touch.
  C) Administer meperidine as ordered.
  D) Initiate pain assessment with a standardized pain scale.

[mjenn52]

Answer to Question 1

C
Response:
The use of any upright position helps to reduce the length of labor. Research validates that nonmoving back-lying positions such as supine and lithotomy positions during labor are not healthy. The kneechest position would assist in rotating the fetus in a posterior position.

Answer to Question 2

D
Response:
The nurse should first initiate pain assessment with a standardized pain scale upon admission and provide frequent evaluations of pain. Administering NSAIDs or meperidine and using non-pharmacologic pain management techniques are appropriate, but the first priority is a standardized assessment.

[tfester]

Excellent

[triiciiaa]

TYSM