A client is having contractions that are lasting 20–30 seconds and occurring every 8–20 minutes. The client is requesting something to help relieve the discomfort of contractions. The nurse should suggest:

Question

1. That a mild analgesic be administered.
2. An epidural.
3. A local anesthetic block.
4. Nonpharmacologic methods for pain relief.

Answer 1

4
Rationale:
1. The client does not have an established labor pattern, and analgesics given for pain relief could prolong labor or stop the process.
2. The client does not have an established labor pattern, and an epidural given for pain relief could prolong labor or stop the process.
3. A local anesthetic block is given during the delivery of the baby to numb the perineal area.
4. For this pattern of labor, nonpharmacological methods for pain relief should be suggested. These can include back rubs, showers, whirlpools, and the application of cool cloths.