You are caring for a woman in labor. She has had three previous deliveries and states that her contractions are approximately 3 minutes apart. Physical exam reveals a bulging of tissue at the vaginal opening with each contraction; however, the baby's head is not yet visible. You should:

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Quizplus · Accepted Answer

The woman is likely in the second stage of labor, in which the baby is descending through the birth canal. The bulging of tissue indicates that the baby's head is pushing against the vaginal opening, and contractions are frequent and strong. This suggests that delivery is imminent and preparation for delivery should begin. Providing support and reassurance to the mother as she prepares to give birth is essential.

You Are Caring for a Woman in Labor