Final answer:
Intense rectal pressure during labor with oxytocin infusion may indicate imminent delivery. Assess the patient for other signs of imminent delivery, such as increasing contractions and urge to push. Notify the healthcare provider if these signs are present.
Step-by-step explanation:
The intense rectal pressure that the patient is experiencing during labor while undergoing induction of labor with oxytocin infusion, despite having an epidural for analgesia, may be a sign of imminent delivery. The rectal pressure is caused by the descent of the baby's head into the birth canal, which exerts pressure on the rectum.
The nurse should assess the patient for other signs of imminent delivery, such as increasing frequency and intensity of contractions, urge to push, and visible bulging of the perineum. These signs indicate that the baby is descending and will be delivered soon.
If the nurse observes these signs, it is important to inform the healthcare provider immediately so that appropriate actions can be taken to assist with the delivery.