A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes.
Which of the following is the best response by the nurse?
A . “Keep breathing with your abdominal muscles as long as you can.”
B . “Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16C20 times a minute with shallow chest breaths.”
C . “Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles.”
D . “If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well.”
Answer: B
Explanation:
(A) Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing.
(B) In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective.
(C) It is important to assume a comfortable position in labor, but the Lamazeprepared laboring woman is taught to breathe with her chest, not abdominal, muscles.
(D) When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6C9 breaths/min.
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