Final answer:
To aid fetal descent in the second stage of labor, effective pushing techniques, changing maternal positions, and medical interventions like Pitocin can be employed.
Step-by-step explanation:
To enhance the progress of fetal descent during the second stage of labor, several measures can be taken to manage the care of a client. This stage begins when the cervix is fully dilated to 10 cm and ends when the baby is expelled from the uterus. It's essential to support the mother in her pushing efforts as the uterus contracts, which includes guiding her through effective pushing techniques. Changing maternal positions can also aid in fetal descent; for example, upright positions such as squatting or sitting can use gravity to help the baby descend. It is during this time that the mother compresses her abdominal muscles to aid delivery. If labor progression stalls, medical interventions such as the administration of synthetic oxytocin, or Pitocin, can be used to intensify contractions and support continued progress.