NursingPlex
    Sign In
    HESI RN EXIT 1 PROCTORED EXAM

    What nursing intervention is particularly indicated for the second stage of labor?

    Explanation & Rationale

    A. Providing pain medication to increase the client's tolerance of labor pains: Pain management is important throughout labor, but in the second stage, the focus shifts to pushing efforts and fetal expulsion. Pain medication may affect the client's ability to push effectively and may not be indicated at this stage. B. Assessing the fetal heart rate and pattern for signs of fetal distress: Fetal monitoring is essential throughout labor, including the second stage, to assess fetal well-being and detect signs of distress. However, the specific intervention indicated for the second stage is assisting the client with pushing. C. Assisting the client to push effectively so that expulsion of the fetus can be achieveD Correct! In the second stage of labor, the cervix is fully dilated, and the focus is on pushing efforts to facilitate the birth of the baby. The nurse plays a crucial role in supporting the client during this stage by providing guidance on effective pushing techniques and encouragement. D. Monitoring effects of oxytocin administration to help achieve cervical dilation: Oxytocin administration is typically used in the first stage of labor to induce or augment contractions and facilitate cervical dilation. Monitoring its effects is important, but it is not a specific intervention for the second stage of labor, where the focus is on pushing and fetal expulsion.

    🔒 Submit your answer to reveal