Which statement is incorrect regarding prepared childbirth ...

[frankwu]

Which statement is incorrect regarding prepared childbirth education?
 
  a. No use of anesthetics or drugs is to be administered to clients so they can have a natural childbirth experience.
  b. Clients can take refresher courses if they have delivered within the last 2 years.
  c. Prepared childbirth classes may differ slightly based on the available resources of health care facilities.
  d. Prepared childbirth classes are aimed at increasing awareness of the childbirth experience for parents and significant others to promote better control of pain and decrease anxiety.

Question 2

During the course of labor, a client has been having her labor coach rub her lower back to relieve pain. After 30 minutes, the client complains that this method is no longer working and becomes increasingly frustrated with the labor coach.
 
  The vaginal exam is 2 to 3 cm, 80 effaced, and -1 station, membranes intact. Which option would you recommend to decrease the client's perceived pain?
 
  a. Have the labor coach change the touch location and begin gently massaging another area on the back.
  b. Perform a vaginal exam to determine progress.
  c. Have the labor coach step outside the room (LDR) and take a break because it is best to try and defuse the confrontation.
  d. Suggest to the client that perhaps the use of a narcotic opioid will relieve her pain and facilitate the labor process.

[elizabethrperez]

Answer to Question 1

ANS: A
Medications and anesthesia information are provided during childbirth education. It is up to the client to decide if she wants to use these treatment options during the course of labor. Refresher courses are available up to 3 years postbirth for clients. Different information may be provided based on the availability of resources in health care facilities that provide obstetric care to clients. Goals of childbirth classes are to increase knowledge of the birth experience, foster control of the situation to decrease anxiety, and minimize the pain experience.

Answer to Question 2

ANS: A
It would appear that habituation has occurred and a change of location may lead to improved pain control relief through touch. A vaginal exam does not address the client's concern of pain, and there is no evidence to support the use of this option at this time. Current data from the vaginal exam indicate that the client is in early labor. The client and labor coach have a bond so to remove the labor coach from the room would further isolate the client and potentially raise the perceived pain level. The nurse should encourage the client and labor coach to work together during the labor process. It is too early in the labor process to recommend the use of narcotics because this might further delay labor. Alternate treatment options involve the use of nonpharmacologic methods such as touch and positioning.