A laboring client reports feeling the need to have a bowel movement and begins vomiting. The nurse notes that the client's legs are trembling. What cervical examination finding would the nurse most expect this client to have?

Question

A laboring client reports feeling the need to have a bowel movement and begins vomiting.  The nurse notes that the client's legs are trembling.  What cervical examination finding would the nurse most expect this client to have?

Quizplus · Accepted Answer

11ecbb05_cc0c_47bc_b433_4d064662f6bb_MD0009_00 The end of the first stage of labor (8-10 cm dilation) is commonly referred to as the "transition phase" of labor. This period is often characterized by perineal/rectal pressure due to fetal descent, which the client may perceive as an urge to have a bowel movement. The maternal ischial spines are designated as the "0 station" landmark. During this period, descent of fetal station below the maternal ischial spines (ie, +1 station or greater) often results in nausea and vomiting and trembling or shivering (Option D). Other maternal signs of the end of the first stage include increased pain, fear, irritability, anxiety, and self-doubt in the ability to birth. The client may require more assertive direction and emotional support during this period. (Option A) Cervical dilation of 0-5 cm denotes the early/latent phase of labor. During this phase, pain is usually well managed. Although possibly apprehensive, the client is usually able to maintain focus and follow directions. For these reasons, the latent phase is the best time to provide client education. (Options B and C) Cervical dilation of 6-7 cm denotes the start of the active phase of labor. During this period, apprehension and pain increase, and the ability to follow instruction decreases. The client's demeanor is more serious. Pain management, reassurance, and encouragement are priorities. Educational objective: Signs of the end of the first stage of labor ("transition phase") include perineal/rectal pressure, nausea and vomiting, trembling/shivering, increased pain, fear, irritability, and self-doubt. Laboring clients may require more assertive direction and additional emotional support during this period.

A Laboring Client Reports Feeling the Need to Have a Bowel