Health Promotion and Maintenance
37. A client, who is gravida 3, para 1, is 8 cm dilated, completely effaced, and a +1 station. She becomes agitated and snaps at her husband and a nurse. She exclaims, "I can't stand this anymore! I want a cesarean section!" What is the most appropriate response by the nurse at this time?
. "I understand you are in a lot of pain, but you are doing very well and you are almost ready to have this baby."
. "I will call the doctor and tell him about your request."
. "Just breathe; you don't need to have a cesarean section."
. "I understand you want a cesarean section, but you are in the transition phase of labor and your feelings are very common in this stage."
Test-Taking Tip
Validating a client's feelings is important to let her know that you hear her and understand her. Eliminate the choices that do not validate the client's feelings.
Content Area: Maternity, Intrapartum; Integrated Process: Communication and Documentation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Health Promotion and Maintenance
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Answer 1 is incorrect because this response does validate her feelings, but it promises the client something that may not be true; she may have a while before delivery. Answer 2 is incorrect because calling the doctor and "passing the buck" to him or her does nothing for the client's pain and coping. Answer 3 is incorrect because this response promises the client something that may not be true (she may need a cesarean section to deliver), and it does nothing to validate her feelings. Answer 4 is correct because it validates the client's feelings, gives an explanation for her condition, and does not promise anything to the client.