Final answer:
Back labor in a multigravida full-term laboring client requires a few interventions to relieve pain and provide support.
Step-by-step explanation:
Back Labor in a Multigravida Full-Term Laboring Client
Back labor
refers to intense pain or discomfort in the lower back during labor. In this scenario, the client is a multigravida, which means she has been pregnant at least once before. The cervix is dilated 3 cm with 50% effacement, and the fetal head is at -1 station.
The nurse should implement the following interventions:
- Assist the client into various positions to relieve pressure on the back, such as leaning forward or on hands and knees.
- Encourage the client to perform pelvic exercises to help the baby move into a more favorable position.
- Apply counter pressure to the client's back during contractions to provide pain relief.
- Offer pain management options like medication or epidural anesthesia.
It's important for the nurse to continuously assess the client's progress and provide support throughout labor.