A laboring client who imagines her body opening to let the baby ...

[sc00by25]

A laboring client who imagines her body opening to let the baby out is using a mental technique called:
 
  a. imagery.
  b. effleurage.
  c. distraction.
  d. dissociation.

Question 2

When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction?
 
  a. The medication will be rapidly circulated.
  b. Less medication will be transferred to the fetus.
  c. The maternal vital signs will not be adversely affected.
  d. Full benefit of the medication is received during that contraction.

[Christopher]

Answer to Question 1

ANS: A
Imagery is a technique of visualizing images that will assist the woman in coping with labor. Effleurage is self-massage. Distraction can be used in the early latent phase by having the woman involved in another activity. Dissociation helps the woman learn to relax all muscles except those that are working.

Answer to Question 2

ANS: B
Injecting at the beginning of a contraction, when blood flow to the placenta is normally reduced, limits transfer to the fetus. It will not increase the circulation of the medication. It will not alter the vital signs any more than giving it at another time. The full benefit will be received by the woman, but it will decrease the amount reaching the fetus.