单选题 A primigravida in labor for 13 hours clenches her fists, tightens her muscles, and screams during every contraction. Her reaction to labor seems exaggerated compared to the contraction pattern recording from the electronic fetal monitor (EFM). What's the nurse's best response?

A. Explain to the client that the EFM shows mild contractions, so she should just relax and let the contractions work.
B. Take over as her coach because her husband isn't helping her properly.
C. Ignore her reactions, realizing that this is her first time in labor and her reactions will soon match the intensity of contractions shown on the EFM.
D. Palpate her abdomen to determine the intensity of labor contractions as they're taking place.

【正确答案】 D

【答案解析】Internal and external fetal monitors are helpful in assessing the duration and frequency of contractions, but the external monitor doesn't accurately portray the intensity of the contraction. The labor room nurse must evaluate this by palpation. Taking over as her coach, ignoring her reactions, and telling her to relax fail to recognize the need for palpation.