Question

Marvis managed to cope well through the transition by going into the shower. She now reports an urge to push. A cervical examination at 1600 reveals that Marvis is still 8/100/0. The fetal heart rate is normal, and maternal vital signs are normal. She is distraught at her lack of progress and states she cannot do it anymore.

What nursing care is appropriate at this time?

Answer 1

Nursing care for pregnant women is quite challenging and it requires the nurse to be fast as well to render quality care. Cervical dilatation, effacement and station of the uterus are assessed through per vaginal examination to assess the progress of labour. From the interpretation of the per vaginal examination we can conclude that the patient still remains in the first stage of labour.

First stage of labour. Regular rhythmic contractions to full cervical dilatation.

Second stage of labour. Full cervical dilatation to delivery of the baby.

The nursing care given.

Reassuring the patient about labour.

Monitoring vital signs.

Pain management. As preffered by the patient. Providing them with freedom to choose. Therapeutic or non pharmacological.

Involving the family to be with her and support her.

Teaching her non breathing exercises.

Providing comfortable positions and back massages.

Conduct health education regarding breast feeding, new born care, postnatal diet and post natal exercises.

Educate patient on different relaxation techniques.

Nursing diagnosis.

Acute pain related to the labour process.

Fear and anxiety related to labour process.