Final answer:
A primipara client with contractions occurring every 2 minutes, lasting 90 seconds, and cervical os is dilated 10 cms requesting an epidural is considered a low priority because she is already in the active phase of labor.
Step-by-step explanation:
A primipara client with contractions occurring every 2 minutes, lasting 90 seconds, and cervical os is dilated 10 cms requesting an epidural is considered a low priority because she is already in the active phase of labor. In this phase, contractions are frequent, lasting longer, and the cervix is dilated to at least 6 cm. At 10 cm dilation, the client is in the transition phase, which is characterized by strong and intense contractions that help push the baby down the birth canal.
During this phase, the cervix is very close to complete dilation and it is recommended to focus on supporting the client through the pushing stage and ensuring a safe delivery, rather than providing pain relief through an epidural.
Furthermore, the requests for an epidural often need time for assessment, preparation, and administration, which may delay the delivery process and increase the risk of complications for both the client and the baby.