A primigravida at 39 weeks’ gestation presents to the labor…
A primigravida at 39 weeks’ gestation presents to the labor and delivery unit reporting intense, regular uterine contractions occurring every 2 minutes and lasting approximately 70 seconds. The client appears overwhelmed and irritable, is unable to focus on instructions, and repeatedly states, “I can’t do this anymore.” Vaginal examination reveals the cervix is 9 cm dilated, 100% effaced, with increasing fetal descent. Based on these assessment findings, which stage and phase of labor is the client most likely experiencing?