Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
A client who is in active labor with 7 cm of cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, suddenly states she needs to pushWhat action should the nurse take?
Correct answer
A
Rationale
Panting prevents premature pushing, which can cause cervical swelling or tearing before full dilation. Positioning, voiding, and crowning observation are secondary until full dilation is confirmed.