A woman is in the second stage of labor with a strong urge to push.

Which of the following actions by the nurse is appropriate at this time?

Choice A rationale
Calculating from the LMP of February 14, 2019, the estimated date of birth using Naegele's rule would not fall in September.
Choice B rationale
Naegele's rule calculates EDB by adding 7 days to the LMP and then subtracting 3 months. This does not lead to a November date.
Choice C rationale
Using Naegele's rule, adding 7 days to February 14 results in February 21, 2019, then subtracting 3 months, results in November 2019.
Choice D rationale
While close, November 7 is not accurate. Naegele's rule would adjust from February 14, giving an EDB in mid to late November.

Choice A rationale
Accelerations with moderate variability indicate fetal well-being and responsiveness to the uterine environment, requiring documentation of normal findings and reassurance to the mother.
Choice B rationale
There is no need to immediately call the midwife or doctor, as accelerations with moderate variability are positive indicators of fetal health and do not suggest any issues.
Choice C rationale
Taking maternal vital signs and advising bed rest is unnecessary because the observed accelerations and variability show that the fetus is not experiencing distress, negating the need for such interventions.
Choice D rationale
Repositioning the mother and checking the monitor for changes is unnecessary, given that accelerations with moderate variability already indicate a well-oxygenated and responsive fetus, not requiring any adjustments.