A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:
Place her in knee-chest position during the contraction
Use effleurage during the contraction
Apply strong sacral pressure during the contraction
Have her push with each contraction
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