A 41-year-old primipara is at 38 weeks gestation, contracting every 2 minutes, lasting 60 seconds. She is concerned that she will need medication, although she is frightened of a needle in her back. She asks the nurse to explain what is ahead of her, and when she needs to make a definite decision regarding pain medication, stating “I missed the childbirth classes since I was placed on bed rest due to my blood pressure increasing and retaining fluid.” Based on the information above, please answer the client’s questions as follows: What phase or stage of labor is this client currently experiencing? When can the client receive medication and what medication could she receive?

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