A nurse is caring for a primigravida at 40 weeks gestation in active labor. The most recent vaginal exam reveals the cervix is 6 cm dilated, 100% effaced, and the fetal station is 0. Which of the following interpretations and nursing actions are most appropriate based on this assessment? Select all that apply.

The fetus is in engagement, and further descent is expected as labor progresses.

Immediate provider notification is not required, but continued monitoring is necessary for signs of labor progression.

Although the patient is not yet in transition, contractions are likely becoming more intense and closer together.

Fetal station indicates the presenting part is at the level of the ischial spines.

Complete effacement with 6 cm dilation indicates favorable cervical change and progression.

The cervix is fully dilated and the patient will begin pushing soon.