A 16-year-old is admitted in early labor with contractions every 5 minutes. She is groaning and perspiring excessively and states she did not attend childbirth classes. The most appropriate nursing action is to:
a. Notify the health care provider.
b. Administer the prescribed narcotic analgesic.
c. Assure her that labor for a teenager is usually short.
d. Give simple breathing and relaxation instructions.
ANS: D
Adolescents often do not tolerate pain well. Breathing and concentration techniques require patience that many teens lack, so breathing and relaxation instructions must be simple and easy to follow. The nurse must also carefully explain to the adolescent and her support person what is being done and what can be expected during the labor and birth.
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