An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The woman states, "My con-tractions are so strong that I don't know what to do"
The nurse should: a. Assess for fetal well-being.
b. Encourage the woman to lie on her side.
c. Disturb the woman as little as possible.
d. Recognize that pain is personalized for each individual.
D
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A This scenario includes no information that would indicate fetal distress or a log-ical reason to be overly concerned about the well-being of the fetus.
B The left lateral position is used to alleviate fetal distress, not maternal stress.
C The nurse has an obligation to provide physical, emotional, and psychosocial care and support to the laboring woman. This woman clearly needs support.
D Each woman's pain during childbirth is unique and is influenced by a variety of physiologic, psychosocial, and environmental factors. A critical issue for the nurse is how support can make a difference in the pain of the woman during la-bor and birth.
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