Difficulty: Medium
Average Score: 69%
Simulated
A primigravid client who has had a prolonged labor but now is completely dilated has received epidural anesthesia. Which of the following should the nurse include in the teaching plan about pushing?
Correct answer
C
Rationale
Pushing with an open glottis (exhaling during effort) is effective and reduces the risk of Valsalva maneuver complications. Prolonged pushing (1ÔÇô3 minutes) is unrealistic, holding breath is discouraged, and with epidurals, the urge to push may be diminished.