A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe…

The correct answer is C. Apply strong sacral pressure during the contraction. (A) This measure is inappropriate. The knee-chest position is employed to take pressure off the (B) Effleurage is a comfort measure but not the one that will contribute most to the relief of backache caused by a posterior position. (C) Sacral pressure will counteract the…

Physiological Integrity: Basic Care and Comfort

Question

A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:

Options

APlace her in knee-chest position during the contraction
BUse effleurage during the contraction
CApply strong sacral pressure during the contraction
DHave her push with each contraction

How the community answered

(24 responses)

B
4% (1)
C
92% (22)
D
4% (1)

Explanation

(A) This measure is inappropriate. The knee-chest position is employed to take pressure off the (B) Effleurage is a comfort measure but not the one that will contribute most to the relief of backache caused by a posterior position. (C) Sacral pressure will counteract the pressure created by the position of the fetal head. (D) The client is not completely dilated. Pushing is contraindicated until the second stage of labor.

Topics

#occipitoposterior position#sacral pressure#back labor#labor comfort measures

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