A nurse is teaching a woman about pain management strategies during labor. The woman expresses great fear about the experience. Which of the following statements by the nurse would help to ease the woman's fears? (Select all that apply.)
A.
"Don't worry about the pain; at least it's not from illness."
B.
"Keep in mind there is an end to the pain with the birth."
C.
"Pain during labor is normal and expected, and helps you to give birth."
D.
"We can anticipate your labor pain and plan for it."
E.
"You have to expect some amount of pain during labor."
ANS: B, C, D
Labor pain has some unique characteristics, including: (1) being part of a normal process, as opposed to being caused by illness or injury; (2) being anticipated, which allows for planning and preparation; and (3) having an end point with the birth of the baby. The nurse should inform the pregnant woman about these facts in a supportive, encouraging way. Stating "at least it's not from illness" is factual but dismissive of her fears. Stating that she has to expect some pain is also dismissive and gives the impression that wanting pain control is unreasonable.
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