The labor and delivery nurse is reviewing charts. Of which patient should the nurse inform the supervisor?

Question

1. Multip at 5 cm requesting labor epidural analgesia
2. Primip whose cervix remains at 6 cm for four hours
3. Multip who has developed nausea and vomiting
4. Primip requesting her partner to stay with her

Answer 1

Correct Answer: 2
Rationale 1: Contacting the supervisor is required when an abnormal situation is present. A multip requesting an epidural at 5 cm is not abnormal.
Rationale 2: Average cervical change among primips in the active phase of the first stage of labor is 1.2 cm/hour; thus, this patient's lack of cervical change is unexpected and should be reported to the supervisor.
Rationale 3: Nausea and vomiting are common during the transitional phase of the first stage of labor. Contacting the supervisor is required only when an abnormal situation is present.
Rationale 4: Patients in the transitional phase of the first stage of labor often fear being left alone; this is an expected finding. Contacting the supervisor is required only when an abnormal situation is present.