A woman feels a strong urge to bear down, but vaginal examination shows that the cervix is 8 cm dilated. What should the nurse do?
Correct answer: B. Help her use panting and controlled breathing
- A. Encourage forceful pushing with each contraction
- B. Help her use panting and controlled breathing
- C. Place her in lithotomy and prepare episiotomy
- D. Apply fundal pressure during contractions
Explanation
Pushing before full cervical dilatation can cause cervical swelling and delay progress. Panting, blowing, and controlled breathing help reduce bearing down until the cervix is fully dilated; fundal pressure is not recommended.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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