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