A primigravida is admitted to the labor unit with contractions every 7–8 minutes. She is 3 cm dilated, 70% effaced, and at 0 station
She is very anxious, is having difficulty coping with contractions, and states that 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 that are 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.
Cognitive Need: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome 8.1 Describe the most appropriate nursing care for couples during preconception counseling to help ensure their best possible health state.
Chapter 08_LO01
You might also like to view...
Despite the availability of State Children's Health Insurance Programs (SCHIP),many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is
1. assessment of the details of thefamily's income and expenditures. 2. case management to limit costly,unnecessary duplication of services. 3. To advocate for the child byencouraging the family to investigate its SCHIP eligibility. 4. To educate the family about the needfor keeping regular well-child-visit appointments
Working to effectively educate groups is an important community nursing skill. The compo-nents of the learning situation that need to be evaluated before designing a teaching program include:
1. Evaluation of teacher's behaviors 2. Instructional objectives 3. The interest of the instructor 4. The principles of teaching
Which assessment finding best supports dissociative fugue? The patient states:
a. "I cannot recall why I'm living in this town." b. "I feel as if I'm living in a fuzzy dream state." c. "I feel like different parts of my body are at war." d. "I feel very anxious and worried about my problems."
In the context of drug administration, select the correct statement related to digitalization and maintenance.
A. After the initial administration of digoxin, subsequent daily maintenance doses are lower and adjusted to maintain a therapeutic level of glycoside in the blood. B. During digitalization, digoxin is administered by either the PO or IV route of administration. C. Digitalization is similar to the process of administering a loading dose because both rapidly produce a therapeutic blood level of drug. D. All of the above are correct.