Desiree, a 28-year-old G2P1, is admitted to the labor and birth unit due to contractions. Her birth plan indicates that

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Desiree, a 28-year-old G2P1, is admitted to the labor and birth
unit due to contractions. Her birth plan indicates that she is
planning natural childbirth without pharmacological interventions.
She has attended childbirth education classes. Desiree is
considered low-risk based on her personal and family health history
and physical exam. Her pregnancy has progressed without
complications. She is approximately 39 weeks pregnant. Pertinent
labs are as follows: O positive, rubella immune, GBS (group beta
strep) negative, hemoglobin 11.2. Vaginal assessment reveals
cervical dilation at 5 cm, 80% effaced, and -1 station. Her
membranes are intact. After a few hours Desiree has spontaneous
rupture of membranes with large amount of clear fluid. She begins
to get very restless and anxious. Desiree wants to take off the
fetal monitors and move. She is having a hard time remaining
focused during contractions and she is irritable. The baseline
fetal heart rate is 130 beats per minute, moderate variability,
accelerations, no decelerations. Contractions are every 3 minutes,
lasting 60-70 seconds, with strong intensity. After 45 minutes,
vaginal assessment reveals cervical dilation at 10 cm, 100%
effaced, and +1 station. Position of the fetus is LOA. The external
fetal monitor indicates a reassuring fetal heart rate at 130 beats
per minute. Maternal status is stable.
8. Based on the vaginal assessment, identify the stage of labor
and appropriate nursing interventions for this stage of labor.
Based on the stage of labor, Desiree is in the transition stage of
labor.
9. Provide two nursing diagnoses, including two interventions
for both.
10. Desiree says, “I’m not sure I can cope with the pain much
longer.” How would you respond, considering her birth plan, stage
of labor, and assessment data?