Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is caring for 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. Bladder fullness may be misinterpreted as sensations of labor by the client. The nurse midwife must learn not to interrupt the client during contraction time. If the amniotic membranes have not ruptured, the client must be encouraged to ambulate. Therapeutic touch is recommended.
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