The labor and delivery nurse is preparing a prenatal class about facilitating the progress of labor. Which of the following frequent responses to pain should the nurse indicate is most likely to impede progress in labor?
1. Increased pulse
2. Elevated blood pressure
3. Muscle tension
4. Increased respirations
Correct Answer: 3
Rationale 1: Increased pulse is a manifestation of pain, but it does not impede labor.
Rationale 2: Elevated blood pressure is a manifestation of pain, but it does not impede labor.
Rationale 3: Muscle tension can impede labor progress by increased oxygen and calorie consumption and by creating a mechanical obstruction that the uterine contractions must overcome to achieve labor progress.
Rationale 4: Increased respiration is a manifestation of pain, but it does not impede labor.
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