Nurses alert to signs of the onset of the second stage of labor can be certain that this stage has begun when:

Name: Nurses alert to signs of the onset of the second stage of labor can be certain that this stage has begun when:
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The only certain objective sign that the second stage has begun is the inability to feel the cervix because it is fully dilated and effaced.Vomiting,an increase in bloody show,and involuntary bearing down are only suggestions of second-stage labor.

Nurses Alert to Signs of the Onset of the Second