A nurse is providing continuous labor support to a client in labor.
Which of the following actions should the nurse take? (Select all that apply.).
Encourage the client to drink clear fluids and ice chips.
Assist the client with ambulation and position changes.
Perform vaginal examinations every hour.
Provide feedback and reinforcement to the client and her partner.
Massage the client’s back and shoulders during contractions.
Correct Answer : A,B,D,E
These are all actions that the nurse should take to provide continuous labor support to a client in labor. According to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), continuous labor support from a registered nurse (RN) is critical to achieve improved birth outcomes. Continuous labor support includes encouraging the client to drink clear fluids and ice chips, assisting the client with ambulation and position changes, providing feedback and reinforcement to the client and her partner, and massaging the client’s back and shoulders during contractions.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
These are all actions that the nurse should take to provide continuous labor support to a client in labor.According to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), continuous labor support from a registered nurse (RN) is critical to achieve improved birth outcomes.Continuous labor support includes encouraging the client to drink clear fluids and ice chips, assisting the client with ambulation and position changes, providing feedback and reinforcement to the client and her partner, and massaging the client’s back and shoulders during contractions.
Correct Answer is B
Explanation
According to the article by Carvalho and Mhyre, pain scales such as the numerical rating scale are unidimensional and lack many characteristics of an ideal psychometric pain instrument in a labor setting.
They also state that “the most important question for laboring women is not ‘How much does it hurt?’ but rather ‘How are you coping?’”.Therefore, the nurse’s priority action is to assess the woman’s coping skills and provide comfort measures such as relaxation, breathing techniques, massage, heat or cold application, etc
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