A Client Asks the Nurse, "What Can I Do to Avoid

question 12

Multiple Choice

A client asks the nurse, "What can I do to avoid an episiotomy during birth?" Which responses should the nurse give? (Select all that apply) .

• A) "Using the lithotomy position during pushing may be beneficial."
• B) "Using prolonged breath-holding when pushing may help stretch the tissue."
• C) "Beginning at 36 weeks, a daily 10-minute perineal massage may help stretch the tissue."
• D) "Using an open glottis technique when pushing can promote gradual perineal stretching."
• E) "Delaying pushing until the urge is felt can gradually distend the soft tissues of the pelvic floor."

---

Definitions:

Self-Esteem

The subjective evaluation or personal view of one's own worth or importance.

Middle Childhood

A developmental stage that generally includes children from about six to twelve years of age, characterized by significant growth in cognitive and social abilities.

Differentiated

The process by which something becomes more specialized or distinct in its characteristics or functions.

Middle-Aged Workers

Individuals in the workforce typically ranging from about 40 to 65 years of age, often facing unique career and life stage challenges.