In order to evaluate the condition of the patient accurately during labor, the nurse should be aware that:
a. The woman's blood pressure will increase during contractions and fall back to prelabor normal between contractions.
b. Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia.
c. Having the woman point her toes will reduce leg cramps.
d. The endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation.
ANS: D
The endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation. In addition, physiologic anesthesia of the perineal tissues, caused by the pressure of the presenting part, decreases the mother's perception of pain. Blood pressure increases during contractions but remains somewhat elevated between them. Use of the Valsalva maneuver is discouraged during second stage labor because of a number of unhealthy outcomes, including fetal hypoxia. Pointing the toes can cause leg cramps, as can the process of labor itself.
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