A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating:

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The client's symptoms, including frequent contractions every 1 to 2 minutes, irritability, refusal of fundal palpation during contractions, and a cervix that is 8 cm dilated and 90% effaced, are indicative of the transition phase of the first stage of labor. This phase is characterized by intense contractions, significant cervical dilation (7-10 cm), and emotional and physical intensity, leading up to the second stage of labor, which is the pushing and delivery of the baby.

A Client Has Not Received Any Medication During Her Labor