A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take? (Select onE.:

Choice A: Applying warm, moist soaks to the client's lower legs is not an effective intervention, as it can increase the swelling and the discomfort of the legs and interfere with the healing of the incision. The nurse should avoid applying heat to the legs and use compression stockings or pneumatic devices insteaD.

Choice B: Having the client ambulate frequently in the hallway is an effective intervention, as it can improve the blood circulation and prevent the formation of blood clots in the legs. The nurse should encourage the client to ambulate as soon as possible after the surgery and assist the client with the first ambulation.

Choice C: Keeping the client on bed rest is not an appropriate intervention, as it can increase the stasis and the coagulation of the blood and increase the risk of thrombophlebitis. The nurse should avoid prolonged bed rest and promote early mobilization of the client.

Choice D: Placing pillows under the client's knees while she is resting in bed is not an appropriate intervention, as it can impair the venous return and increase the pressure and the inflammation of the legs. The nurse should avoid placing anything under the client's knees and keep the legs slightly elevated and in a straight position.

Choice A: Maternal pelvis is gynecoid is not a contributing factor of difficult, prolonged labor. On the contrary, a gynecoid pelvis is the most favorable shape for vaginal delivery, as it has a round inlet and a wide outlet that can accommodate the fetal heaD.

Choice B: Fetal position is persistent occiput posterior is a contributing factor of difficult, prolonged labor. In this position, the back of the fetal head is against the mother's sacrum, which can cause a poor fit in the pelvis and increase the resistance and the pressure on the maternal tissues. This can result in a longer and more painful labor, often associated with a severe backachE.

Choice C: Fetal attitude is in general flexion is not a contributing factor of difficult, prolonged labor. On the contrary, a general flexion attitude is the most optimal for vaginal delivery, as it allows the smallest diameter of the fetal head to pass through the birth canal.

Choice D: Fetal lie is longitudinal is not a contributing factor of difficult, prolonged labor. On the contrary, a longitudinal lie is the most common and favorable for vaginal delivery, as it means that the long axis of the fetus is parallel to the long axis of the mother.