The health care provider for a laboring patient makes the following entry into the patient's record: 3/50%/+1. What instruction will the nurse implement with the patient?
A) "You will need to remain in bed attached to the electronic fetal monitor."
B) "Breathe with me slowly, in through your nose and out through your mouth."
C) "I will begin the administration of 1000 mL of IV fluid so you can have an epidural."
D) "Your partner will need to change into scrub attire to attend the imminent birth."

Question

Quizplus · Accepted Answer

This patient is in the latent phase of the first stage of labor. Use slow, deep chest breathing patterns early in labor to conserve energy for the upcoming process. There is no mention in the stem that the membranes are ruptured, which may prohibit the patient from ambulating. Ambulating during early labor uses gravity to facilitate fetal descent. This is desired because the head is at +1 station. Epidural placement during early labor may slow down the labor process and should be delayed. There is no indication that birth is imminent because the patient is only 3 cm dilated.

The Health Care Provider for a Laboring Patient Makes the Following