Which of the following clinical manifestations is a priority for the nurse to report on a woman in the second stage of labor?


• An indentation across the abdomen, abdominal pain, or vaginal bleeding during the second stage of labor should be reported to the physician. These symptoms are signs of impending rupture of the uterus and are considered a medical emergency.

• All other choices are normal events for a woman in the second stage of labor. During this period, the woman will experience uncontrollable urges to push or bear down with contractions. As the fetal head touches the internal side of the perineum, the perineum begins to bulge and appear tense.

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