Management of Second, Third, and Fourth Stages of Labor
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Questions and Answers

During the second stage of labor, what are the signs indicating the onset of this stage?

  • Vaginal bleeding and dizziness
  • Uterine contractions and bearing down (correct)
  • Back pain and leg cramps
  • Nausea and vomiting
  • What is the duration of the second stage of labor in a primigravida?

  • 50 minutes to 2 hours (correct)
  • 30 minutes
  • 3 hours
  • 15 minutes
  • What are the effects of uterine contractions on the cervix during labor?

  • Constriction and hardening
  • Effacement and dilation (correct)
  • Thickening and shortening
  • Enlargement and softening
  • Which factor contributes to the descent of the presenting part through the pelvis during labor?

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    Study Notes

    Second Stage of Labor

    • Signs indicating the onset of the second stage of labor include:
      • Full dilation of the cervix (10 cm)
      • Rotation of the fetus's head
      • Increased bloody show
      • Strong, intense contractions
    • The duration of the second stage of labor in a primigravida (first-time mother) is approximately 1-2 hours

    Effects of Uterine Contractions

    • Uterine contractions during labor cause:
      • Cervical effacement (thinning and shortening of the cervix)
      • Cervical dilation (widening of the cervical opening)

    Factors Contributing to Descent of Presenting Part

    • The descent of the presenting part (fetus's head) through the pelvis during labor is contributed to by:
      • Uterine contractions
      • Maternal pushing efforts
      • Gravity

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    Description

    Learn about the stages of labor, from the expulsion of the baby to the management of the fourth stage, in this comprehensive quiz prepared by Dr. Hanan Morsy. Understand the duration, signs, and key aspects of managing each stage.

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