A client is completely dilated and ready to push. What is the ...

[kfurse]

A client is completely dilated and ready to push. What is the correct nursing intervention to help the client push effectively?
 
  a. Encourage the client to bear down slowly since it may result in tears.
  b. Instruct the client to take two breaths, hold, and bear down between contractions.
  c. Instruct the client to take two breaths, hold, and bear down with contractions.
  d. Turn the client to her side and have her bear down between contractions.

Question 2

A means of controlling the birth of the fetal head with a vertex presentation is:
 
  a. The Ritgen maneuver.
  b. Fundal pressure.
  c. The lithotomy position.
  d. The De Lee apparatus.

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Answer to Question 1

C
The nurse should instruct the client to take two breaths, hold, and bear down with contractions.

Answer to Question 2

A

Feedback
A The Ritgen maneuver extends the head during the actual birth and protects the perineum.
B Gentle, steady pressure against the fundus of the uterus facilitates vaginal birth.
C The lithotomy position has been commonly used in Western cultures, partly be-cause it is convenient for the health care provider.
D The De Lee apparatus is used to suction fluid from the infant's mouth.