CNM Certified Nurse Midwife

Answer: C - The most appropriate intervention during the second stage of labor is to instruct the client to push with each contraction. The nurse midwife should also encourage the client to rest in between contractions. Pushing expends energy, and the client should be taught to conserve and regain energy every time she has the opportunity. It is not recommended to offer foods and fluids at this time; however, ice chips may be offered for hydration. Ambulation is recommended during early labor. Frequent position changes are not recommended during the second stage because the client needs to conserve her energy.