A client with a suspected small pelvis is dilated at 6 cm. The fetus has an estimated weight of 4200 g (9 lb, 4 oz). What is the most important action for the client at this time?

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Quizplus · Accepted Answer

The most important action for the client with suspected small pelvis and fetal macrosomia (estimated fetal weight of 4200 g or 9 lb 4 oz) at 6 cm dilation is to assist the client to assume positions that allow the pelvis to open as much as possible to promote descent and progress of labor. Squatting is a good position for a client with a small pelvis because it opens the pelvic outlet, increasing the available space for the fetal head. Encouraging oral fluids and carbohydrate intake, assessing the cervix for change periodically, and informing the couple that labor might be prolonged are all appropriate actions, but they are not as important as promoting descent and progress of labor.

A Client with a Suspected Small Pelvis Is Dilated at 6