A patient in labor has internal fetal monitoring and normal vital signs. All fetal signs are reassuring. She wishes to try whirlpool bath hydrotherapy as a comfort measure. Which action by the nurse is best?
A.
Assist the woman into the tub so she doesn't fall.
B.
Ensure the water temperature does not exceed 101 °F (38.3 °C).
C.
Inform her that she is not able to participate in this method.
D.
Remove the fetal monitor wires prior to the patient's getting in the tub.
ANS: C
Hydrotherapy can provide excellent comfort for many women in labor; however, the presence of internal fetal monitoring electrodes is a contraindication to the use of whirlpool tubs or jet hydrotherapy. The nurse should inform her of this and explore other comfort measures. The other options are not appropriate.
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