Author Question: The nurse is teaching a pregnant client, with a history of back pain, childbirth exercises. Which is ... (Read 109 times)

lilldybug07 · **on:** Jun 25, 2018

The nurse is teaching a pregnant client, with a history of back pain, childbirth exercises. Which is most appropriate for this client?

A) Perform the pelvic rock exercise only in the standing position.
B) Exercise in the supine position throughout the pregnancy.
C) Perform the pelvic rock exercise while in the hands and knees position.
D) Soak in a hot tub for approximately 30 minutes after exercise.

Question 2

The nurse is providing care to a client who is a victim of interpersonal violence. Which interventions are appropriate for this client? Select all that apply.

A) Educating the client on how to avoid future incidents of violence
B) Distracting the client to avoid overwhelming feelings about the situation
C) Using a supportive, nurturing approach
D) Helping the client identify intra- and interpersonal strengths
E) Maintaining objectivity and offering short, to-the-point responses

itsakadoozi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The pelvic tilt or pelvic rock exercise helps prevent or reduce back strain as it strengthens the abdominal muscles. The client with a history of back pain should be instructed to perform the exercise in the standing position only. Doing the exercise on the hands and knees may aggravate back strain and cause pain. Pregnant clients should be instructed to avoid exercising in the supine position after the first trimester because it could hinder uterine blood flow and harm the fetus. Pregnant clients should be instructed to avoid hot tubs because of the possible teratogenic effects of hyperthermia on the developing fetus.

Answer to Question 2

Answer: C, D

The nurse should use a supportive, nurturing approach because it is important for victims of interpersonal violence to feel supported and cared for in order to develop trust and work through their issues. The nurse should also help the client identify intra- and interpersonal strengths because recognition of strengths will decrease feelings of helplessness. Educating the client on how to avoid future incidents of violence is not therapeutic and implies that the incident might have been the client's fault. Distracting the client will prolong the grieving process, and the client will be left with unresolved conflicted feelings. Maintaining objectivity and providing short responses discourages communication and does not offer the client the empathy and support that are needed.