Question

1.The client calls the unit and tells a nurse that she thinks she is in labor. "I have had some pains for about 2 hours. Should my husband bring me to the hospital now?” Describe how a nurse should approach this situation.

Answer 1

A nurse who is the most accessible person in health care sector therefore they should be very patient and gentle.

The nurse should approach the situation by hearing to the client first, reassuring and explaining the client about when to come to hospital.

• For a primigravida the entire labor takes approximately 18 hours.
• Ask the client to relax and wait till latent stage
• Encourage the client to move around
• Ask her to time the contractions when they start
• Advice for a warm shower to ease the pain
• Encourage her to take simple diet
• Ask her not to force herself when she wants to pee or poo
• Inform her when there is show or rupture of membrane she have to come to hospital immediately
• Inform her when pain is for every 10 MTS lasting for 40 seconds she should inform her husband to take her to hospital.
• More over actual labor starts with dilation of cervix