Which of the following potential problems would the nurse consider when planning care for a patient 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. Third- or fourth-degree lacerations
3. Ceasing of labor progress
4. Fetus born in posterior position
5. Intense back pain during labor
2,3,4,5
Rationale 1: There is no increased risk of fetal mortality.
Rationale 2: The woman can have a third- or fourth-degree laceration or an extension of the episiotomy.
Rationale 3: Sometimes labor progress ceases if the fetus fails to rotate to an occiput anterior position.
Rationale 4: If born in posterior position, the fetus can cause a laceration or extension of the episiotomy.
Rationale 5: The woman usually experiences intense back pain in the small of her back throughout labor.
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