Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.Which should the nurse ask to evaluate the effectiveness of this intervention?
Correct answer
C
Rationale
The correct answer is C. Back labor refers to intense lower back pain during labor, which can indicate malposition of the baby. Monitoring improvement in back labor helps assess if the intervention is effective in correcting the baby's position, leading to smoother labor progress. Choices A and D focus on pain management, not evaluating intervention effectiveness. Choice B is vague and subjective, while choice C directly correlates with the intervention's goal.