A nurse suspects that a laboring woman has entered the second ...

[moongchi]

A nurse suspects that a laboring woman has entered the second stage of labor by what assessment?
 
  A.
  Cervix is more than 50 dilated.
  B.
  Contractions are more frequent.
  C.
  Contractions are more intense.
  D.
  Woman has a strong urge to push.

Question 2

The OB nurse assesses moderate baseline variability on the fetal heart monitor. What action by the nurse is best?
 
  A.
  Administer a bolus of IV fluids.
  B.
  Discontinue oxytocin, if it is being delivered.
  C.
  Document the findings in the woman's chart.
  D.
  Perform fetal scalp or vibroacoustic stimulation.

[Kedrick2014]

Answer to Question 1

ANS: D
The second stage of labor commences when the cervix is fully dilated and ends with the birth of the baby. The nurse (or woman) often suspects this has occurred when the woman has strong urges to push or has involuntary bearing-down efforts. Contractions remain similar to those experienced during transition.

Answer to Question 2

ANS: C
Baseline variability is the most important predictor of adequate fetal oxygenation during labor. It can be described as absent, minimal, moderate, or marked. Adequate variability is described as moderate. This is a normal and reassuring finding and should be documented in the patient's chart. No further action is needed.

[moongchi]

Excellent

[Mochi]

TYSM