When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how quickly she will recover. How can anxiety affect labor? a. By decreasing a woman's pain sensitivity
While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurse's initial action?
If a woman suddenly loses control and becomes irritable, suspect that she has progressed to the transition stage of labor. a. Align the baby into the proper position for delivery b. Dilate and efface the cervix
A vaginal exam for a laboring multipara client who is 42 weeks' gestation reveals the following information: 4 cm, minimal effacement, -2 station. Which clinical factors would affect the clinical management decision not to rupture membranes with an AmniHook? a. Vaginal dilation b. Client is a multipara d. Gestational age
The nurse is in a unique position of being able to assist the client to associate the sensations of labor with the process of childbirth and not the past abuse.
During the latent phase of the first stage of labor, the expected maternal progress is 0 to 3 cm dilation with contractions every 5 to 30 minutes. During the transition phase of the first stage of labor, the expected maternal progress is 8 to 10 cm dilation with contractions every 2 to 3 minutes.
The transition phase of labor is often associated with an abrupt change in behavior, including increased anxiety and irritability. This change of behavior is an expected occurrence during the transition phase. If she is in the transitional phase of labor, analgesia may not be appropriate if the birth is near.
When the cervix is fully dilated, the woman should take a deep breath and exhale at the beginning of a contraction, and then take another deep breath and push while exhaling. While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions.