Author Question: The nurse is caring for a patient in labor whose fetus is in an occiput posterior position. Which ... (Read 62 times)

c0205847 · **on:** Jun 27, 2018

The nurse is caring for a patient in labor whose fetus is in an occiput posterior position. Which intervention should the nurse use to reduce this patient's discomfort?

A) Massage the lower back.
B) Place in a prone position.
C) Apply ice packs to the lower back.
D) Place in the Trendelenburg position.

Question 2

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which of the following responses by the nurse would be most appropriate?

A) Why are you crying?
B) Will a pill help your pain?
C) I'm sorry you lost your baby..
D) A baby still wasn't formed in your uterus..

tjayeee · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
Because the fetal head rotates against the sacrum in the occiput posterior position, the patient may experience pressure and pain in the lower back because of sacral nerve compression. Applying counter pressure on the sacrum by a back rub may be helpful in relieving a portion of the pain. The patient does not need to be placed in the prone or Trendelenburg positions. Ice packs are not indicated to reduce this pain.

Answer to Question 2

C
Feedback:
Telling the client that the nurse is sorry for the loss acknowledges the loss to the woman, validates her feelings, and brings the loss into reality. Asking why the client is crying is ineffective at this time. Offering a pill for the pain ignores the client's feelings. Telling the client that the baby wasn't formed is inappropriate and discounts any feelings or beliefs that the client has.