Stages of Labor: Active Phase
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Questions and Answers

What is the average duration of the first stage of labor for a multipara?

  • 3 hours
  • 7 hours
  • 4.5 hours (correct)
  • 6 hours

What can cause a prolonged latent phase during labor?

  • Frequent contractions
  • Non-ripe cervix (correct)
  • Cervix dilating rapidly
  • Short duration of contractions

What is the intensity of contractions during the first stage of labor for a nullipara?

  • Moderate
  • Mild
  • Strong (correct)
  • Severe

What action has no effect on labor progress when administered during the first stage?

<p>Analgesic (D)</p> Signup and view all the answers

What is encouraged to help manage contractions during the first stage of labor?

<p>Chest breathing (C)</p> Signup and view all the answers

What is the frequency of contractions during the transition stage?

<p>Every 2 to 3 minutes (B)</p> Signup and view all the answers

What is the maximum dilatation reached during the transition stage?

<p>10 cm (C)</p> Signup and view all the answers

What is the woman likely to experience at the end of the transition phase?

<p>Nausea and vomiting (B)</p> Signup and view all the answers

What occurs when a woman reaches full dilatation (10 cm) during the transition stage?

<p>Membranes rupture (D)</p> Signup and view all the answers

What new sensation does a woman experience when reaching 10 cm during the transition stage?

<p>Urge to push (A)</p> Signup and view all the answers

During which phase of the first stage of labor does the latent or preparatory phase occur?

<p>At the onset of regular contractions (A)</p> Signup and view all the answers

In a nullipara, how long does the active phase of the first stage of labor typically last?

<p>3 hours (D)</p> Signup and view all the answers

What is the frequency of contractions during the active phase of the first stage of labor?

<p>Every 3 to 5 minutes (D)</p> Signup and view all the answers

How long does the active phase of the first stage of labor typically last in a multipara?

<p>2 hours (D)</p> Signup and view all the answers

What characterizes the contractions during the latent phase of the first stage of labor?

<p>20-40 seconds duration and mild intensity (C)</p> Signup and view all the answers

When does the active phase of the first stage of labor begin?

<p>At the onset of regular contractions (A)</p> Signup and view all the answers

What are the two separate phases that occur during the third stage of labor?

<p>Placental separation and placental delivery (B)</p> Signup and view all the answers

How is the placenta delivered after separation during the third stage of labor?

<p>By natural bearing-down effort of the mother (A)</p> Signup and view all the answers

What should be avoided when applying pressure on a postpartal uterus in a non-contracted state?

<p>Causing the uterus to evert and hemorrhage (A)</p> Signup and view all the answers

Which type of placental presentation is characterized by separation with the maternal side showing?

<p>Duncan placenta (C)</p> Signup and view all the answers

What is the normal range of blood loss during placental separation until the uterus contracts adequately?

<p>300-500 ml (A)</p> Signup and view all the answers

What medication is commonly given to increase contractions and minimize bleeding after the delivery of the placenta?

<p>IV Oxytocin (PITOCIN) (D)</p> Signup and view all the answers

During the second stage of labor, what is the duration of contractions?

<p>50-90 seconds (B)</p> Signup and view all the answers

What is the frequency of contractions during the second stage of labor?

<p>Every 3-4 minutes (A)</p> Signup and view all the answers

What causes the overwhelming urge to push or bear down during the second stage of labor?

<p>Contractions in combination with the Ferguson reflex (C)</p> Signup and view all the answers

What happens as the fetal head touches the internal side of the perineum during the second stage of labor?

<p>The perineum bulges &amp; appears tense (A)</p> Signup and view all the answers

What is the term used to describe the gradual appearance of the fetal scalp at the opening of the vagina during crowning in labor?

<p>Crowning Ritgen's maneuver (B)</p> Signup and view all the answers

What procedure may be performed during the second stage of labor to widen the vaginal opening if necessary?

<p>Episiotomy (C)</p> Signup and view all the answers

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