Difficulty: Medium
Average Score: 82%
Simulated
The nurse is assessing the perineal changes of a multigravid client in the second stage of labor. The illustration below represents which of the following perineal changes?
Correct answer
D
Rationale
If the illustration shows the fetal head visible at the perineum with no retraction between contractions, and the perineal area appears bulging or stretched, this indicates crowning ÔÇö the point at which birth is imminent.