Question

The nurse instructs a group of expectant clients on how to recognize the onset of labor. The nurse knows further teaching is necessary if a client makes which statement?

A. 'I should time the contractions from the beginning of one to the beginning of the next.'
B. 'I might feel back pain during labor.'
C. 'If my water breaks, labor is imminent.'
D. 'I can still go for a run if I'm having contractions.

Answer 1

The statement indicating further teaching is needed is 'I can still go for a run if I'm having contractions.' True labor contractions intensify over time and cannot be alleviated by rest or exercise; it is critical to conserve energy for the upcoming childbirth.

Step-by-step explanation:

The nurse identifies further teaching is necessary if a client states: 'I can still go for a run if I'm having contractions.' This statement indicates a misunderstanding of the labor process. During true labor, contractions do not subside with hydration or rest and become more frequent and powerful over time. It is crucial for the client to conserve energy and prepare for the strenuous and intense process of childbirth rather than engage in physical activity such as running, which could exacerbate fatigue and complicate the labor process.

When true labor begins, uterine contractions grow increasingly frequent and intense as part of a positive feedback loop involving cervical dilation and oxytocin secretion. This process contributes to advancing labor towards successful childbirth. It is essential to recognize these signs of labor and manage activities accordingly for the health and safety of both the mother and the baby.