The nurse is caring for a client who is G5P4 and at 41 weeks…
The nurse is caring for a client who is G5P4 and at 41 weeks gestation. She presents to the labor and delivery unit for an elective labor induction. She is excited to have her fifth baby. An ultrasound reveals the fetus is about 3500 grams (7 lbs., 11 oz.). The nurse completes a vaginal exam. The client is 3 cm, 50% effaced, and at 0 station. The nurse states the fetus is in the right right occiput anterior (ROA) position. She is having contractions every 2 to 3 minutes. The nurse palpates her contractions and they feel like the tip of her nose. The labor is taking longer than expected. The nurse suspects she has not yet delivered related to which of the five labor components?
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