Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
A nurse is caring for a client who is in labour.Which of the following findings should prompt the nurse to reassess the client?
Correct answer
D
Rationale
An urge to have a bowel movement during contractions may indicate the baby's head is descending, signaling the need to push. This requires reassessment to check dilation. Intense contractions, sacral discomfort, and excitement with flushed skin are normal labor findings.