Stages of Labor: Active Phase

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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?

Analgesic Signup and view all the answers

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

Chest breathing Signup and view all the answers

What is the frequency of contractions during the transition stage?

Every 2 to 3 minutes Signup and view all the answers

What is the maximum dilatation reached during the transition stage?

10 cm Signup and view all the answers

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

Nausea and vomiting Signup and view all the answers

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

Membranes rupture Signup and view all the answers

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

Urge to push Signup and view all the answers

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

At the onset of regular contractions Signup and view all the answers

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

3 hours Signup and view all the answers

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

Every 3 to 5 minutes Signup and view all the answers

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

2 hours Signup and view all the answers

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

20-40 seconds duration and mild intensity Signup and view all the answers

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

At the onset of regular contractions Signup and view all the answers

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

Placental separation and placental delivery Signup and view all the answers

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

By natural bearing-down effort of the mother Signup and view all the answers

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

Causing the uterus to evert and hemorrhage Signup and view all the answers

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

Duncan placenta Signup and view all the answers

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

300-500 ml Signup and view all the answers

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

IV Oxytocin (PITOCIN) Signup and view all the answers

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

50-90 seconds Signup and view all the answers

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

Every 3-4 minutes Signup and view all the answers

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

Contractions in combination with the Ferguson reflex 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?

The perineum bulges & appears tense 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?

Crowning Ritgen's maneuver Signup and view all the answers

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

Episiotomy Signup and view all the answers