When should the nurse transport the client from the labor room to the delivery room.. When the cervical dilatation is 8 cm

The history of Mrs. Dela Cruz revealed that she is a multipara. When should the nurse transport the client from the labor room to the delivery room?

• a- When the cervical dilatation is 8 cm.
• b- When the cervical dilatation is 10 cm.
• c- When the cervical dilatation is 9 cm.
• d- When the client feels the urge to push.

Answer: A.

Multiparas are transported to the DR when the cervical dilatation is 7-8 cm because in multiparas dilatation may proceed before effacement is completed.

Effacement must occur at the end of dilatation, however, before the fetus can be safely pushed through the cervical canal; otherwise, cervical tearing could result.

Primiparas are transported to the DR when the cervical dilatation is 9-10 cm.

The decision to move a multipara client from the labor room to the delivery room depends on several factors, and there isn't a single definitive answer based solely on cervical dilatation.

Options details:

Here's a breakdown of the options you provided:

a. When the cervical dilatation is 8 cm:

This can be a valid criterion for some multiparas, especially those with a fast and efficient labor progression. However, it's not universally applicable, as some multiparas may dilate to 10 cm before experiencing the urge to push.

b. When the cervical dilatation is 10 cm:

This is often considered the standard for transferring primiparas (first-time mothers) to the delivery room. However, for multiparas, waiting until 10 cm might be unnecessarily long, especially if they're showing other signs of impending delivery.

c. When the cervical dilatation is 9 cm:

This falls in the middle of the previous options and could be a reasonable choice for some multiparas, but it's still not a definitive rule. Individual factors and labor progress play a significant role.

d. When the client feels the urge to push:

This is the most reliable indicator of readiness for delivery in multiparas. The urge to push arises due to the baby's descent and pressure on the cervix, regardless of the exact dilatation measurement.

Approach For Transferring:

Therefore, the best approach for transferring a multipara to the delivery room is a combination of factors:

- Cervical dilatation:

While not the sole indicator, reaching 8-9 cm can be a good starting point, but not a strict cut-off.

- Presence of the urge to push:

This is the most important sign of readiness, and waiting for it can be more efficient than focusing solely on dilatation.

- Other signs of impending delivery:

These may include increased frequency and intensity of contractions, bloody show, and fetal descent.

Ultimately, the decision of when to transfer a multipara should be made by the healthcare provider in consultation with the client, considering the specific circumstances and labor progress.

Remember:

individual cases may vary, and this information should not be used as a substitute for professional medical advice.