A pregnant client during labor is irritable and feels the urge to vomit.
The nurse should recognize this as the:
A . Fourth stage of labor
B . Third stage of labor
C . Transition stage of labor
D . Second stage of labor
Answer: C
Explanation:
(A) The fourth stage begins after expulsion of the placenta. Client symptoms are: fatigue; chills; scant, bloody vaginal discharge; and nausea.
(B) The third stage is from birth to expulsion of placenta. Client symptoms are uterine contractions, gush of blood, and perineal pain.
(C) The transition stage is characterized by strong uterine contractions and cervical dilation. Client symptoms are irritability, restlessness, belching, muscle tremors, nausea, and vomiting.
(D) The second stage is characterized by full dilation of cervix. Client symptoms are perineal bulge, pushing with contractions, great irritability, and leg cramps.
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