A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse's best response is:
a. "Don't worry about it. You'll do fine."
b. "It's normal to be anxious about labor. Let's discuss what makes you afraid."
c. "Labor is scary to think about, but the actual experience isn't."
d. "You can have an epidural. You won't feel anything."
ANS: B
"It's normal to be anxious about labor. Let's discuss what makes you afraid" allows the woman to share her concerns with the nurse and is a therapeutic communication tool. "Don't worry about it. You'll do fine" negates the woman's fears and is not therapeutic. "Labor is scary to think about, but the actual experience isn't" negates the woman's fears and offers a false sense of security. It is not true that every woman may have an epidural. A number of criteria must be met for use of an epidural. Furthermore, many women still experience the feeling of pressure with an epidural.
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