A nurse is assisting a client who is in the first stage of labor, Which of the following principles should the nurse keep in mind to help make this clients labor and birth as natural as possible?
Routine intravenous fluids should be implemented
A woman should be allowed to assume a supine position
Women should be able to move about freely throughout labor
The support person's access to the client should be limited to prevent the client from becoming overwhelmed
The Correct Answer is C
A. Routine intravenous fluids should be implemented: IV fluids are not routinely required for all laboring women unless medically indicated. Unnecessary interventions can limit mobility and interfere with a natural labor experience.
B. A woman should be allowed to assume a supine position: Supine positioning can compress major blood vessels, reducing uteroplacental perfusion. Encouraging upright or lateral positions supports optimal fetal positioning and maternal comfort.
C. Women should be able to move about freely throughout labor: Allowing movement and position changes promotes comfort, facilitates fetal descent, and can shorten labor. Mobility supports a more natural and physiologic labor process, enhancing maternal autonomy.
D. The support person's access to the client should be limited to prevent the client from becoming overwhelmed: Presence of a support person generally reduces maternal anxiety, provides emotional and physical support, and promotes a positive birth experience. Limiting support is contrary to principles of natural labor.
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Related Questions
Correct Answer is C
Explanation
A. Oral contraceptives: Oral contraceptives regulate hormonal cycles to prevent ovulation and pregnancy but do not provide any barrier to infectious agents. They offer no protection against sexually transmitted infections (STIs), including HIV, chlamydia, or gonorrhea.
B. Tubal ligation: Tubal ligation is a permanent surgical method that blocks the fallopian tubes to prevent pregnancy. While highly effective for contraception, it does not prevent the transmission of sexually transmitted infections because it does not provide a barrier between partners.
C. Male or female condoms: Condoms act as a physical barrier preventing the exchange of bodily fluids during sexual activity, reducing the risk of pregnancy and transmission of STIs. Correct and consistent use significantly lowers exposure to pathogens such as HIV, HPV, chlamydia, and gonorrhea.
D. Intrauterine device: IUDs, whether hormonal or copper, provide long-term prevention of pregnancy by affecting implantation or sperm motility. They do not protect against STIs, as they do not prevent contact with infectious secretions during sexual activity.
Correct Answer is C
Explanation
A. Holding her breath while pushing during contractions: Prolonged breath-holding increases intrathoracic pressure, reduces venous return, and can decrease uteroplacental perfusion. This may compromise fetal oxygenation and increase maternal fatigue, particularly during repeated pushing efforts.
B. Begin pushing as soon as the cervix has dilated to 8 cm: Initiating pushing before full cervical dilation increases the risk of cervical edema and lacerations. Effective bearing down requires complete dilation to allow fetal descent without maternal or cervical trauma.
C. Push with contractions and rest between them: Coordinating pushing with uterine contractions maximizes expulsive force while rest periods allow maternal recovery and fetal reoxygenation. This pattern supports efficient fetal descent and reduces exhaustion during the second stage of labor.
D. Pant while pushing: Panting is used during the transition phase or when pushing should be delayed, such as with an urge to push before full dilation. During the active second stage, panting interferes with effective bearing-down efforts.
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