Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A client who is in laborA nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct answer
A
Rationale
An urge to have a bowel movement may indicate the transition phase and imminent delivery, prompting reassessment. Excitement, flushed skin, sacral discomfort, and intense contractions are normal in labor.