To accurately assess the health of the mother during labor, a nurse should be aware that:
1. Her blood pressure will increase during contractions and fall back to prelabor normal in between.
2. Using the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia.
3. Having her point her toes will reduce leg cramps.
4. Her endogenous endorphins released during labor will raise her pain threshold and produce sedation.
4
1. Incorrect. Blood pressure, of course, increases during contractions, but it still remains somewhat elevated in between.
2. Incorrect. The Valsalva maneuver is discouraged during the second stage of labor because of a number of unhealthy outcomes, including fetal hypoxia.
3. Incorrect. Pointing toes can cause leg cramps, as can the process of labor itself.
4. Correct. Additionally, physiologic anesthesia of perineal tissues, caused by pressure of the presenting part, decreases the perception of pain.
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