Question

The client is a nullipara at 5 cm dilation, 100% effacement, 0 station, vertex presentation, LOP position, with intact membranes, Contractions are occurring every 3 minutes lasting 60 seconds with strong intensity. The healthcare provider orders continuous external electronic fetal monitoring.

1. Where might the client be feeling discomfort and why?
2. What interventions should the nurse use to promote the client’s comfort at this stage and phase of labor?
3. When the Client asks what to expect as labor progresses, how should the nurse respond?
4. The client states she has experienced a healthy pregnancy and asks why continuous fetal monitoring is necessary. How should the nurse respond?

Answer 1

1) A strong pain can be felt in abdomen , groin and back. Sometimes pain in the thighs can also be felt.

2)

• Do back rub
• Ask client to do breathing exercises
• Do a massage
• Give client emotional support
• Give epidural ( for pain relief)
• Help her to change position for pain relief
• Say good words and motivate her, tell her labor is progressing normal

3)

• Strong pain in abdomen, lower back and bloody mucous discharge indicates that your labor is progressing well.. Its time for child birth. Be happy, your waiting period for 9 months is over, ypur baby is coming.

4)

• It monitors baby's heart beat. We are monitoring this to make sure that your baby is well during the child birth.