Our head nurse is nearing retirement--she has seen just about everything come through our rural L&D unit and always looks calm and unruffled. Recently she was attending the labor of a very emotional 16 yr old. The girl was having alot of pain, writhing on the bed, fighting her contractons, swearing and refused to consider epidural analgesia ("No one's putting a f***** needle in my back!!!") Streams of obscenities erupted from her room. I stepped in to see if the nurse needed a break just in time to hear the girl yell "F*** F*** F***" right into the nurse's face. With absolute calm, the nurse patted the girl's arm and said "Now you've already done that part. It's time to have the baby."