Nurses alert to signs of the onset of the second stage of labor can be certain that stage has begun when:
1. the woman has a sudden episode of vomiting.
2. the nurse in unable to feel the cervix during vaginal examination.
3. there is an increased bloody show.
4. the woman involuntarily tries to bear down.
2
1. Incorrect. This is a suggestion of second stage. The only certain objective sign that the second stage has begun is the inability to feel the cervix because it is fully dilated and ef-faced.
2. Correct. The only certain objective sign that the second stage has begun is the inability to feel the cervix because it is fully dilated and effaced.
3. Incorrect. This is a suggestion of second stage. The only certain objective sign that the second stage has begun is the inability to feel the cervix because it is fully dilated and ef-faced.
4. Incorrect. This is a suggestion of second stage. The only certain objective sign that the second stage has begun is the inability to feel the cervix because it is fully dilated and ef-faced.
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