While providing care to a patient in active labor, the nurse should instruct the woman that:
a. The supine position commonly used in the United States increases blood flow.
b. The "all fours" position, on her hands and knees, is hard on her back.
c. Frequent changes in position will help relieve her fatigue and increase her comfort.
d. In a sitting or squatting position, her abdominal muscles will have to work harder.
ANS: C
Frequent position changes relieve fatigue, increase comfort, and improve circulation. Blood flow can be compromised in the supine position; any upright position benefits cardiac output. The "all fours" position is used to relieve backache in certain situations. In a sitting or squatting position, the abdominal muscles work in greater harmony with uterine contractions.
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