Practice Quiz

Doula

Category - Labor & Birth

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A doula is supporting a client who is in the first stage of labor. The client's amniotic membranes have not ruptured. Which of the following interventions is the most effective during this stage of labor?
  1. Apply distraction techniques during contractions.
  2. Instruct the client to lie on her left side and to avoid frequent change of positions.
  3. Instruct the client to void at least every two hours.
  4. Limit therapeutic touch.
Explanation
Answer: C - The most effective intervention during the first stage of labor is to instruct the client to void at least every two hours. A full bladder may be misinterpreted as sensations of labor by the client. The doula may use distraction if the client proposed that as a means of handling contractions, though she may need uninterrupted focus as labor progresses. If the amniotic membranes have not ruptured, the client must be encouraged to ambulate. Therapeutic touch is recommended.
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