1. A 25-year-old primigravida at 39 weeks gestation is in active labor and requests pain management. Which of the following is the most appropriate initial step? A. Administer intravenous opioids B. Provide supportive care and reassurance C. Apply a transcutaneous electrical nerve stimulation (TENS) unit D. Perform an epidural analgesia Answer: B. Supportive care and reassurance are essential initial steps in managing labor pain, as they help to assess the patient's coping mechanisms and provide non-pharmacological pain relief options. 2. During labor, a patient expresses a desire for non-pharmacological pain management. Which technique is evidence-based and commonly used for this purpose? A. Hydrotherapy B. Acupuncture C. Aromatherapy D. Reflexology Answer: A. Hydrotherapy, the use of water for pain relief, is an evidence-based and commonly used non-pharmacological method to manage pain during labor. 3. A patient in labor is experiencing back pain and requests an intervention. Which of the following is an effective method for alleviating back labor pain? A. Administering oral analgesics B. Utilizing sterile water injections C. Applying a warm compress to the abdomen D. Encouraging frequent position changes Answer: D. Encouraging frequent position changes can help alleviate back labor pain by shifting the pressure and potentially aiding fetal descent. 4. When considering pharmacological pain management in labor, which factor is crucial for the healthcare provider to assess before administration? A. The patient's previous experience with pain medications