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</p> Signup and view all the answers

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

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

    What is the frequency of contractions during the transition stage?

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

    What is the maximum dilatation reached during the transition stage?

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

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

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

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

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

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

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

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

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

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