A nurse is teaching a childbirth education class. Which information about excessive pain in labor should the nurse include in the session?
a. It usually results in a more rapid labor.
b. It has no effect on the outcome of labor.
c. It is considered to be a normal occurrence.
d. It may result in decreased placental perfusion.
ANS: D
When experiencing excessive pain, the woman may react with a stress response that diverts blood flow from the uterus and the fetus. Excessive pain may prolong the labor because of increased anxiety in the woman. It may affect the outcome of the labor, depending on the cause and the effect on the woman. Pain is considered normal for labor. However, excessive pain may be an indication of other problems and must be assessed.
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