[MCN] - Stages of Labor

Question 1

What is the 1st stage of Labor?

Answer 1

Stage of Dilatation

Question 2

What are the phases of Dilatation?

Answer 2

Latent Phase
Active Phase
Transition Phase

Question 3

What phase of Dilatation is this?
- cervical dilatation: 1-4 cm.
- uterine contraction: every 15-30 mins.; 10-30 seconds
- mother is talkative/eager

Answer 3

Latent phase

Question 4

What phase of Dilatation is this?
- cervical dilatation: 5-7 cm.
- uterine contraction: every 3-5 mins.; 30-60 seconds
- feeling of helplessness; restlessness and anxious as contractions become stronger

Answer 4

Active phase

Question 5

What phase of Dilatation is this?
- cervical dilatation: 8-10 cm.
- uterine contraction: every 2-3 mins.; 50-90 seconds
- mother is tired, restless, irritable, feels out of control

Answer 5

Transition phase

Question 6

What is the 2nd stage of Labor?

Answer 6

Stage of Delivery

Question 7

What stage of labor is this?
- cervical dilatation is complete.
- uterine contraction every 2-3 mins; 60-70 seconds
- increase in bloody show
- mother feels the urge to bear down
- crowning
- mother experiences pain, helplessness, panicking, fear of losing control

Answer 7

Stage 2 - Stage of Delivery

Question 8

What is the 3rd stage of Labor?

Answer 8

Placental Delivery

Question 9

What stage of labor is this?
- contractions until placenta are born
- placental separation/expulsion occur (contracted uterus globular in shape)
- umbilical cord lengthens; spurt of blood from vagina appears.
- occurs 5-30 minutes after birth of baby
- promote maternal-neonatal attachment
- uterine fundus: firm, 2 fingerbreadths from the umbilicus

Answer 9

Stage 3 - Placental Delivery

Question 10

A mechanism where the center portion of placenta separates first?

Answer 10

Schultze’s mechanism

Question 11

A shiny fetal surface emerges from vagina?

Answer 11

Schultze

Question 12

A mechanism where the margin of placenta separates?

Answer 12

Duncan’s mechanism

Question 13

A dull, red, rough maternal surface emerges from the vagina first?

Answer 13

Duncan

Question 14

What is the 4th stage of Labor?

Answer 14

Stage of Recovery

Question 15

What stage of labor is this?
- 1-4 hours after delivery
- Fundus: contracted, midline, 1-2 fingerbreadths below the umbilicus
- Lochia: red; scant to moderate
- monitor mother: every 15 minutes for 1hr, every 30 minutes for 1hr, every 1-2hrs
- massage uterus to promote contraction and prevent bleeding

Answer 15

Stage 4 - Stage of Recovery