A nurse is coaching a woman in labor in patterned breathing. To use the slow-paced breathing method, which instruction is best?
A.
"Blow like you are blowing out a candle at the end of your breath."
B.
"I will count to 4 while you inhale and again when you exhale."
C.
"Take a deep cleansing breath when the contraction ends."
D.
"You need to breathe at half of your normal rate in this pattern."
ANS: B
With the slow-paced breathing pattern, the woman first takes a deep cleansing breath, then breathes slowly in and out of her mouth at about half her normal respiratory rate. Her coach counts slowly to 4 during inhalation and again during exhalation. Blowing out the candle is an instruction given during transition with the pattern-paced method. The woman should begin and end each contraction with a deep cleansing breath. Telling the woman that her respiratory rate will be half of the normal rate does not provide any specific instruction for her to follow.
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