Question

A multigravida, full-term, laboring client complains of "back labor". Vaginal examination reveals that the client's 3 cm with 50% effacement and the fetal head is at -1 station. What should the nurse implement?

Answer 1

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:

1. Assist the client into various positions to relieve pressure on the back, such as leaning forward or on hands and knees.
2. Encourage the client to perform pelvic exercises to help the baby move into a more favorable position.
3. Apply counter pressure to the client's back during contractions to provide pain relief.
4. 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.