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To make the woman feel safe in this situation, a combination of emotional, informational, and environmental support is necessary.
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To make the woman feel safe in this situation, a combination of emotional, informational, and environmental support is necessary.
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a) Tell her to call someone that can be with her during labor, because you cannot be there all the time.
- Rationale: Having a trusted support person (e.g., partner, family, friend, doula) can significantly reduce feelings of loneliness, fear, and anxiety, providing continuous emotional and physical comfort. This directly addresses her being "alone" and "very scared."
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b) Tell her to stop crying because it will prolong the labor.
- Rationale: This is unhelpful and dismissive. Telling her to stop crying will likely increase her distress and make her feel less safe and unsupported.
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c) Explain what to expect and inform her continuously and respectfully.
- Rationale: Providing clear, continuous, and respectful information about her progress, what sensations to expect, and upcoming procedures helps to demystify the process, reduce fear of the unknown, and empower her, making her feel more in control and safe.
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d) Make sure that the environment around the woman is clean and private.
- Rationale: A clean and private environment fosters respect, dignity, and comfort, allowing her to focus on labor without feeling exposed or uncomfortable. This contributes to her overall sense of safety.
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e) Ask her to go for a walk and come back when she feels better.
- Rationale: This is inappropriate. At 8 cm dilation with contractions 3 minutes apart, she is in advanced active labor and requires continuous monitoring and support, not to be sent away. This would increase her fear and feeling of abandonment.
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f) Encourage the woman and talk her through the contractions.
- Rationale: Active encouragement, coaching through breathing techniques, and providing verbal support during contractions helps her cope with pain, reduces feelings of helplessness, and makes her feel actively supported and cared for. This directly addresses her being "scared" and "crying."
The most appropriate kinds of support to make the woman feel safe are:
- a) Tell her to call someone that can be with her during labor.
- c) Explain what to expect and inform her continuously and respectfully.
- d) Make sure that the environment around the woman is clean and private.
- f) Encourage the woman and talk her through the contractions.
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