During the active phase of labor, a patient reports severe back pain that becomes increasingly intense during contractions. The nurse should place the woman in which position?
a. Semi-Fowler's
b. Supine
c. Knee-chest
d. Side-lying on the side of the fetus's back
ANS: C
Severe back pain during the active phase of labor commonly is caused by posterior fetal positioning, in which the fetal back and head press against the maternal spine. The knee-chest position facilitates rotation and descent of the fetus and lessens the degree of back pain during contractions. The supine and semi-Fowler's positions would be inappropriate because they slow fetal rotation. The side-lying position uses gravity to facilitate fetal rotation when the mother is lying on the side opposite the fetus's back.
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