Maternal-newborn nursing · practice question
A 29-year-old client in labor and delivery is being evaluated for labor with epidural analgesia. Assessment data include the client reports rectal pressure and an urge to push during active labor. Which finding requires the nurse to intervene immediately?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
D. The new finding that reports rectal pressure and an urge to push during active labor.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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