Which nursing assessment indicates that a woman who is in the second stage of labor is almost ready to give birth?
a. Bloody mucous discharge increases.
b. The vulva bulges and encircles the fetal head.
c. The membranes rupture during a contraction.
d. The fetal head is felt at 0 station during the vaginal examination.
ANS: B
A bulging vulva that encircles the fetal head describes crowning, which occurs shortly before birth. Bloody show occurs throughout the labor process and is not an indication of an imminent birth. Rupture of membranes can occur at any time during the labor process and does not indicate an imminent birth. Birth of the head occurs when the station is +4. A 0 station indicates engagement.
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