Situation: a 25 year old primigravida is in labor. Vaginal exams reveal that her cervix is 5 cm dilated, 80% effaced, and the presenting part is at ze

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Situation: a 25 year old primigravida is in labor. Vaginal exams reveal that her cervix is 5 cm dilated, 80% effaced, and the presenting part is at zero station, membranes intact, occiput is in posterior position.

During the first stage of labor, which of the following measure if performed by the nurse would be most supportive to the patient?

a. Administering sufficient analgesia to minimize pain from uterine contractors and encouraging her to remain on her back
b. Keeping her informed about the progress of her labor and helping her relax between contractions
c. Having her squeeze the nurse’s hand during the height of contractions
d. Reminding her to breath rapidly with her mouth open






Answer:
b. Keeping her informed about the progress of her labor and helping her relax between contractions

Situation: a 25 year old primigravida is in labor. Vaginal exams reveal that her cervix is 5 cm dilated, 80% effaced, and the presenting part is at ze

.
Situation: a 25 year old primigravida is in labor. Vaginal exams reveal that her cervix is 5 cm dilated, 80% effaced, and the presenting part is at zero station, membranes intact, occiput is in posterior position.

Due to fetal position, the nurse would be correct in saying:

a. She will not have the urge to bear down when she becomes fully dilated
b. She can expect to have more back discomfort than most women in labor
c. The position of the baby’s head is optimum for passing through the pelvis
d. A cesarean section may be necessary to deliver the baby in this position






Answer:
b. She can expect to have more back discomfort than most women in labor