A woman in labor seems to be progressing more slowly than expected. Which action should the nurse perform first?

A.
Administer oxygen by face mask.
B.
Assess the woman for a full bladder.
C.
Increase the rate of the IV fluids.
D.
Provide stimulants such as coffee.


ANS: B
A full bladder can hinder the progression of labor by slowing the descent of the fetus. A full bladder can also contribute to increased pain during contractions. The nurse should assess the woman for a full bladder. This is easy and quick to accomplish. The woman should be encouraged to void every 2 hours. The other options are not warranted.

Nursing

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