CNM Certified Nurse Midwife

Category - Intrapartum

A nurse midwife is creating a care plan for a client who is in early labor. Which of the following guidelines is least important?
  1. Be certain that the outcomes are realistic.
  2. Incorporate both the client and her support person.
  3. Project a definite time limit for labor to be completed.
  4. Address the discomforts of labor.
Explanation
Answer: C - The nurse midwife should avoid projecting a definite time limit for labor to be completed. The length of labor can vary from client to client and still be within the normal limits. The outcomes should be realistic. Labors usually occur over a short period of time, and the nurse midwife should ensure that the outcomes are met within this time period. The female client and her support person should be incorporated so that the labor experience is a shared one. Comfort promotion is essential.
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