A woman is admitted to the labor and delivery room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. What is the best time to ask questions or do procedures?
a. After the contraction is over
b. During increment of next contraction
c. After administration of analgesic/anesthetic
d. When it is okay with the coach
A
Reduce intrusions as much as possible. Longer assessments may span several contractions.
The increment is the beginning of the next contraction. It is best to stop with questions and procedures during each contraction.
An analgesic or anesthetic may cause adverse reactions in the woman, preventing her from answering questions correctly.
The coach is the support person. The woman needs to feel confident in her ability to go through labor and delivery, and she should be encouraged to express her own needs and concerns.
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