A primigravida is admitted to the labor unit with contractions every 7–8 minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes
Which of the following would be the most effective nursing intervention?
1. Instruct the patient in abdominal breathing and progressive relaxation.
2. Instruct the patient in patterned, paced breathing and touch relaxation.
3. Instruct the patient in pelvic tilt and pelvic rock exercises.
4. Call the physician and request a sedative.
Correct Answer: 1,3
Rationale 1: Abdominal breathing and progressive relaxation assist the patient in relaxing and allow the uterine muscles to work more efficiently.
Rationale 2: Patterned, paced breathing and touch relaxation are exercises that are taught in childbirth preparation classes and involve the use of a partner.
Rationale 3: Pelvic tilt and rock exercises are body-conditioning exercises.
Rationale 4: Providing sedatives would not allow the patient to participate actively in the process.
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