A Primigravida Is Admitted to the Labor Unit with Contractions

A primigravida is admitted to the labor unit with contractions every 7-8 minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes. Which of the following would be the most effective nursing intervention?

A) Instruct the patient in abdominal breathing and progressive relaxation.
B) Instruct the patient in patterned, paced breathing and touch relaxation.
C) Instruct the patient in pelvic tilt and pelvic rock exercises.
D) Call the physician and request a sedative.