Which nursing instruction would reduce the risk of urinary retention in a client during labor

The second stage of labor is the stage in which the infant is born.

This stage begins with full cervical dilation (10 cm) and complete effacement (100%) and ends with the baby's birth.

The force exerted by uterine contractions, gravity, and maternal bearing-down efforts facilitates achievement of the expected outcome of a spontaneous, uncomplicated vaginal birth.

The median duration of this stage of labor is 50 to 60 minutes in nulliparous clients and 20 to 30 minutes in multiparous clients.

During the second stage of labor, the infant is born; this stage begins with full cervical dilation (10 cm) and complete effacement (100%) and ends with the baby's birth. The force exerted by uterine contractions, gravity, and maternal bearing-down efforts facilitates achievement of the expected outcome of a spontaneous, uncomplicated vaginal birth. The median duration of second-stage labor is 50 to 60 minutes in nulliparous clients and 20 to 30 minutes in multiparous clients. In the first stage of labor, the birthing table is usually not set up for the nulliparous client, and the progress of labor is enhanced when a client changes her position frequently.

What are the nursing interventions during labor and delivery?

These interventions can include bed rest/recumbent position, electronic fetal monitoring (EFM), limited oral intake during labor, frequent vaginal exams, inductions/augmentations, amniotomy, regional anesthesia, catheterization, ineffective pushing, episiotomy, instrumental vaginal birth, and cesarean surgery.

Which statement describes the nursing instructions for a client in the second stage of labor with an epidural?

Which statement describes the nursing instructions for a client in the second stage of labor with an epidural? "Take a deep breath in, and let your breath out slowly while pushing down. The active pushing phase occurs in the second stage of labor.

Which activity is the priority of nursing care during labor?

The nurse's priority is to assess fetal well-being. The nurse should document the characteristics of the amniotic fluid, but the initial response is to assess fetal well-being and the response to ROM.

When caring for a client in labor which instruction with the nurse provide in the second stage of labor?

What does the nurse instruct the client in the second stage of labor? "Avoid holding your breath or tightening the abdominal muscles." The client may hold her breath and tighten the abdominal muscles for pushing during the second stage of labor. This activity is known as the Valsalva maneuver.