A woman in active labour has a distended bladder and the fetal head is descending slowly. What is the most appropriate nursing action?
Correct answer: A. Encourage her to empty her bladder
- A. Encourage her to empty her bladder
- B. Increase the oxytocin infusion immediately
- C. Ask her to remain flat in bed
- D. Restrict oral fluids until birth
Explanation
A full bladder can interfere with fetal descent and increase maternal discomfort. The nurse should assist the woman to void safely, while oxytocin, positioning, and fluids should not be changed without a clinical indication.
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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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