Which of the following potential problems would the nurse consider when planning care for a client with a persistent occiput posterior position of the fetus? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply. 1. Increased fetal mortality
2. Severe perineal lacerations
3. Ceasing of labor progress
4. Fetus born in posterior position
5. Intense back pain during labor
2, 3, 4, 5
Explanation: 2. The woman can have third- or fourth-degree perineal laceration or extension of a midline episiotomy.
3. Sometimes labor progress ceases if the fetus fails to rotate to an occiput anterior position.
4. Occiput posterior positions are associated with a higher incidence of vacuum-assisted births.
5. The woman usually experiences intense back pain in the small of her back throughout labor.
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