During active phase of labor, mother should instruct for - - RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Obstetrics & Gynaecology

Easy

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Explanation

All the options listed are standard, evidence-based nursing instructions for a mother in the active phase of labor.
Frequent voiding is crucial because a full bladder can inhibit uterine contractions and impede the descent of the fetal head.
Effective breathing patterns are a vital non-pharmacological pain management technique that also promotes relaxation and ensures adequate oxygenation for both mother and fetus.
Maintaining hydration with clear liquids and ice chips is important to prevent dehydration and maternal exhaustion, especially since solid food is typically withheld.

Option A: This option is correct but incomplete. While encouraging voiding is a key intervention, it is not the only instruction given during the active phase of labor.
Option B: This option is correct but incomplete. Breathing techniques are essential for pain management, but other care aspects like hydration and bladder care are also critical.
Option C: This option is correct but incomplete. Hydration is vital, but it represents only one aspect of the comprehensive care and instructions provided during active labor.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Nursing management and patient instructions during the active phase of labor as background academic context rather than a clinical decision trigger.
The nurse's role during active labor is multifaceted, involving continuous monitoring, coaching, and support to ensure the safety and comfort of both mother and baby.
These instructions are not just suggestions; they are active interventions that can positively influence the progress and outcome of labor, potentially reducing the need for medical interventions.
What if the mother receives an epidural? Her ability to feel the urge to void will be diminished, making it the nurse's responsibility to remind her or perform intermittent catheterization to keep the bladder empty. Breathing techniques remain important for relaxation and oxygenation, even with pain relief.

How to Approach the Question

First, identify the core subject of the question: nursing instructions for the 'active phase of labor'.
Next, evaluate each option (A, B, and C) individually to determine if it is a standard and appropriate instruction for this stage of labor.
You should recognize that frequent voiding, breathing exercises, and maintaining hydration are all correct interventions.
When multiple options are correct, check if there is an 'All of the above' choice.
Since options A, B, and C are all valid and recommended practices, conclude that 'All of the above' is the most complete and therefore the best answer.

Concept Tested & Keywords

Concept Tested: Nursing management and patient instructions during the active phase of labor.
Stem keywords: active phase of labor, mother, instruct
Lead-in keywords: BEST, MOST RELEVANT CLUE

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E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 219-221

E6 Obstetrics Williams p. 26-44