A complete Breech position

At the last visit, ultrasound noted that the fetus was in a complete breech position. The woman has been experiencing contractions every 10 minutes lasting approximately 45 seconds. She
feels the baby has not moved into the correct position.

A. What assessments and concerns should the nurse address?
B. What nursing diagnoses are appropriate for this couple?
C. What expected outcomes should the nurse identify?

The patient is a 26-year-old G3P2, who presents to the unit after spontaneous rupture of membranes. Her two previous deliveries were via cesarean, but she is determined to try VBAC. Her husband is supportive but anxious. He’s afraid she will be very disappointed if she is unsuccessful.

Privately, he has told the nurse he doesn’t understand why she wants to go through all this.

On assessment, it appears she will be able to deliver VBAC.

A. What should the nurse be aware of as this labor progresses?
B. How can the nurse help this couple best handle this situation?
C. What changes may indicate the need for a repeat cesarean birth?