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The Nurse Examines a Primipara's Cervix at 8-9/100%/+2; It Is

Question 11

Multiple Choice

The nurse examines a primipara's cervix at 8-9/100%/+2; it is tight against the fetal head. The patient reports a strong urge to bear down. What is the nurse's priority action?


A) Palpate her bladder for fullness.
B) Assess the frequency and duration of her contractions.
C) Determine who will stay with the patient for the birth.
D) Encourage the patient to exhale in short breaths with contractions.

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