A laboring client in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger."
b. "Let me take off the monitor belts and help you get into a more comfortable position."
c. "You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain."
d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."
ANS: D
Intervention is needed to manage the dysfunctional pattern. Offering support and comfort is important to help the client cope with the situation, no matter at what stage. It is important to get her into a more comfortable position, but fetal monitoring should continue. Breathing will not decrease the pain.
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