What statement indicates that a patient is in the second stage of labor?

In the context of labor, the second stage is characterized by the descent of the fetus and the beginning of the actual pushing phase. When a patient states, "I feel like I have to push," it is a clear indication that the baby is descending into the birth canal and the mother is experiencing the strong urge to bear down. This statement signifies that the cervix is fully dilated and the mother is ready to assist in the delivery by actively pushing in response to contractions.

In contrast, feelings of nausea, dizziness, or sharp abdominal pain do not specifically correlate with the second stage of labor. These symptoms may arise during various points in labor or could be related to other factors, but they do not indicate the active expulsion phase associated with this stage. The emphasis on the urge to push makes it clear that the patient is transitioning into the latter part of labor, thus affirming the identification of the second stage.