Question

A client is in active labor when membranes rupture. The client tells the nurse, I am afraid of having a 'dry labor'. Which response by the nurse is best?

a) A dry labor is a common concern, but it rarely occurs; don't worry.
b) Dry labor happens when there's no amniotic fluid; we'll monitor you closely.
c) Don't be concerned; your body will continue to produce amniotic fluid.
d) Dry labor is a myth; your amniotic fluid levels are sufficient.

Answer 1

The nurse's best response would be to reassure the client that her body will continue to produce amniotic fluid even after the membranes have ruptured. This reassurance is based on the body's ability to make amniotic fluid throughout labor, which maintains necessary lubrication for childbirth.

Step-by-step explanation:

The concern about having a 'dry labor' after the rupture of membranes is understandable. The best response by the nurse would be: c) Don't be concerned; your body will continue to produce amniotic fluid. This addresses the client's anxiety with accurate information. The client needs to know that the body does indeed continue to produce amniotic fluid throughout labor, even after the membranes have ruptured. This process ensures that there is sufficient lubrication for the baby's passage through the birth canal. Although the forewaters are released when the membranes rupture, the majority of the hindwaters remain inside the womb until the baby is born, and the body replenishes this fluid to some extent.

In the event of too little amniotic fluid (oligohydramnios), it's crucial to closely monitor the situation because it can lead to complications for both the mother and baby. However, in the context of an ongoing labor with the mere rupture of membranes and no indication of oligohydramnios, reassuring the client that amniotic fluid levels can remain adequate should alleviate her concerns.