A client is 6 centimeters dilated, but she has a strong urge to push. The best nursing action at this time is to
a. closely observe the fetal heart rate for variable decelerations
b. give the client a prescribed sedative
c. position the client on her side
d. suggest that the client use a panting pattern of breathing
D
The panting pattern of breathing is very helpful to the mother experiencing the desire to push during the first stage of labor. Pushing at this point (6 cm dilated) could cause cervical tears and increased pressure on the fetus. Closely observing the fetal heart rate for variable decelerations will not assist the mother and prevent pushing. Sedation crosses the placenta, sedating the fetus as well as the mother and labor. Positioning the client on her side will assist the fetus with variable decelerations or the mother with supine hypotension.
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