During her labor, a client asks why she has to try to void every 2 hours. The nurse understands that a full bladder affects labor by
a. altering presentation c. impeding descent
b. decreasing force of contraction d. increasing pain
C
During pregnancy the uterus displaces the bladder anteriorly, thus making it an abdominal organ, which causes a decrease in venous return, thus making it edematous. Edema and pressure placed on the bladder during labor can make voiding during labor difficult and can cause over distension of the bladder. If not regularly emptied, it can impede the descent of the fetus. When the woman is unable to void urinary catheterization is necessary.
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