Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to pushA nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Encouraging the client to pant during contractions helps reduce the urge to push when not fully dilated, preventing complications like cervical swelling or tearing.