A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
Explanation & Rationale
A. "You can splint the incision with a pillow when changing positions.": Supporting the incision with a pillow (incision splinting) helps reduce tension on surgical sutures and provides comfort during movement. This nonpharmacological technique is evidence-based and commonly recommended for postoperative cesarean pain management. B. "You should change positions as little as possible.": Limiting movement can increase the risk of complications such as blood clots, pulmonary issues, and delayed bowel function. Encouraging safe movement with pain management strategies is preferred over minimizing mobility. C. "You can apply counterpressure to your back with each position change.": Counterpressure may relieve musculoskeletal or labor-related back pain but does not directly reduce incision pain after a cesarean birth. It is not the most effective strategy for surgical site discomfort. D. "You should use patterned-paced breathing when changing positions.": Patterned-paced breathing can aid relaxation and reduce perception of pain, but it does not provide direct mechanical support to the incision during movement. Its effectiveness is secondary compared with splinting the incision.