The nurse is reviewing the option of childbirth classes with a ...

[newyorker26]

The nurse is reviewing the option of childbirth classes with a patient in her second trimester. Which statement indicates to the nurse that the patient has understood the teaching?
 
  a. My labor will likely be shorter if I go to classes.
  b. I will likely perceive less pain during labor if I go to classes.
  c. I will likely be more satisfied with my labor if I go to classes.
  d. I will likely use fewer medications during labor if I go to classes.

Question 2

The labor nurse is reviewing breathing techniques with a primipara admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?
 
  a. During labor, when she can no longer talk through contractions
  b. During the first stage of labor, when the contractions are 3 to 4 minutes apart
  c. Between contractions, during the transitional phase of the first stage of labor
  d. Between her efforts to push to facilitate relaxation between contractions

[amandalm]

Answer to Question 1

ANS: C
Many studies agree that couples receiving prenatal preparation for childbirth are more satisfied with their birth experiences and have greater feelings of control, even when unexpected complications occur. Studies to determine whether education for childbirth affects patient satisfaction, pain relief, length of labor, and frequency of complications have had conflicting results.

Answer to Question 2

ANS: A
Focused breathing techniques should not be used in labor until they are actually needed, which is usually when the woman can no longer walk and talk during a contraction. If breathing techniques are used too early, the woman tends to move through the different techniques too quickly, and she may stop using them. In addition, the use of the more complex breathing patterns in latent labor may increase fatigue. Women should be encouraged to adapt the techniques to their own comfort and needs. Breathing deeply between contractions or pushing can increase the possibility of carbon dioxide retention and make the patient dizzy.