In order to help patients manage discomfort and pain during labor, nurses should be aware that

a. The predominant pain of the first stage of labor is the visceral pain located in the
lower portion of the abdomen.
b. Somatic pain is the extreme discomfort between contractions.
c. The somatic pain of the second stage of labor is more generalized and related to
fatigue.
d. Pain during the third stage is a somewhat milder version of the second stage.


A
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A This pain comes from cervical changes, distention of the lower uterine segment,
and uterine ischemia.
B Somatic pain is a faster, sharp pain. Somatic pain is most prominent during late
first-stage labor and during second-stage labor as the descending fetus puts direct
pressure on maternal tissues.
C Second-stage labor pain is intense, sharp, burning, and localized.
D Third-stage labor pain is similar to that of the first stage.

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