Question

When managing the care of a woman in the second stage of labor, the nurse uses various measures to enhance the progress of fetal descent. These measures include:

A) Encouraging the woman to try various upright positions, including squatting and standing. Giving positive feedback about her efforts.
B) Telling the woman to start pushing as soon as her cervix is fully dilated.
C) Stopping the epidural anesthetic so the woman can feel the urge to push and thereby push more effectively
D) Coaching the woman to use sustained, 10- to 15-second, closed-glottis bearing-down efforts with each contraction.

Answer 1

The nurse can use various measures during the second stage of labor, such as encouraging upright positions, providing positive feedback, and coaching sustained bearing-down efforts.

Step-by-step explanation:

When managing the care of a woman in the second stage of labor, there are various measures the nurse can use to enhance the progress of fetal descent. These measures include:

1. Encouraging the woman to try various upright positions, including squatting and standing, as they can help facilitate the movement of the baby downward.
2. Providing positive feedback about the woman's efforts, as encouragement can help boost her motivation and confidence during labor.
3. Coaching the woman to use sustained, 10- to 15-second, closed-glottis bearing-down efforts with each contraction. This technique involves holding their breath and pushing down as if having a bowel movement, which can aid in the progress of fetal descent.