28 Questions
What is the average duration of the first stage of labor for a multipara?
4.5 hours
What can cause a prolonged latent phase during labor?
Non-ripe cervix
What is the intensity of contractions during the first stage of labor for a nullipara?
Strong
What action has no effect on labor progress when administered during the first stage?
Analgesic
What is encouraged to help manage contractions during the first stage of labor?
Chest breathing
What is the frequency of contractions during the transition stage?
Every 2 to 3 minutes
What is the maximum dilatation reached during the transition stage?
10 cm
What is the woman likely to experience at the end of the transition phase?
Nausea and vomiting
What occurs when a woman reaches full dilatation (10 cm) during the transition stage?
Membranes rupture
What new sensation does a woman experience when reaching 10 cm during the transition stage?
Urge to push
During which phase of the first stage of labor does the latent or preparatory phase occur?
At the onset of regular contractions
In a nullipara, how long does the active phase of the first stage of labor typically last?
3 hours
What is the frequency of contractions during the active phase of the first stage of labor?
Every 3 to 5 minutes
How long does the active phase of the first stage of labor typically last in a multipara?
2 hours
What characterizes the contractions during the latent phase of the first stage of labor?
20-40 seconds duration and mild intensity
When does the active phase of the first stage of labor begin?
At the onset of regular contractions
What are the two separate phases that occur during the third stage of labor?
Placental separation and placental delivery
How is the placenta delivered after separation during the third stage of labor?
By natural bearing-down effort of the mother
What should be avoided when applying pressure on a postpartal uterus in a non-contracted state?
Causing the uterus to evert and hemorrhage
Which type of placental presentation is characterized by separation with the maternal side showing?
Duncan placenta
What is the normal range of blood loss during placental separation until the uterus contracts adequately?
300-500 ml
What medication is commonly given to increase contractions and minimize bleeding after the delivery of the placenta?
IV Oxytocin (PITOCIN)
During the second stage of labor, what is the duration of contractions?
50-90 seconds
What is the frequency of contractions during the second stage of labor?
Every 3-4 minutes
What causes the overwhelming urge to push or bear down during the second stage of labor?
Contractions in combination with the Ferguson reflex
What happens as the fetal head touches the internal side of the perineum during the second stage of labor?
The perineum bulges & appears tense
What is the term used to describe the gradual appearance of the fetal scalp at the opening of the vagina during crowning in labor?
Crowning Ritgen's maneuver
What procedure may be performed during the second stage of labor to widen the vaginal opening if necessary?
Episiotomy
Test your knowledge on the active phase of labor, where cervical effacement begins, cervix dilates from 0 to 3 cm, and contractions become strong and discomforting. Learn about the duration, possible causes of prolonged latent phase, and the impact of analgesics during this stage.
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