STAGES OF LABOR (1)

Question 1

what are the 4 stages of labor?

Answer 1

• cervical dilation
• expulsion
• placental
• maternal homeostatic stabilization

Question 2

what is the average length of the latent phase for a nullipara?

Answer 2

8.6hr

Question 3

what is the average length of latent phase for a multipara?

Answer 3

5.3hrs

Question 4

what is the upper normal length of the latent phase for a nullipara?

Answer 4

20 hrs

Question 5

what is the upper normal length of the latent phase for a multipara?

Answer 5

14hrs

Question 6

what is the average length of active phase for a nullipara?

Answer 6

• 4.9hrs
• min. rate of dilatation : 1.2cm /hr

Question 7

what is the upper normal length of active phase for a nullipara?

Answer 7

12hrs

Question 8

what is the average length of active phase for a multipara?

Answer 8

• 2.5hrs
• min. rate of dilatation : 1.5cm / hr

Question 9

what is the upper normal length of active phase for a multipara?

Answer 9

6hr

Question 10

what is the average length of second stage for a nullipara?

Answer 10

1hr

Question 11

what is the upper normal length of second stage for a nullipara?

Answer 11

• under 2hrs w/o epidural
• 3hrs w/ epidural

Question 12

what is the average length of second stage for a multipara?

Answer 12

• 0.5hrs

Question 13

what is the upper normal length of second stage for a multipara?

Answer 13

• under 1hr w/o epidural
• 2hrs w/ epidural

Question 14

this phase begins at the onset of regularly perceived uterine contractions and end when rapid cervical dilatation begins.

Answer 14

latent phase

Question 15

as the nurse on duty, you saw that the mother is having mild and short contractions that lasts for 20-40 seconds. what phase is she in?

Answer 15

latent phase

Question 16

how much does the cervix dilate in latent phase?

Answer 16

0-3cm

Question 17

this phase lasts approx. 6hrs in nulli & 4.5hrs in multi

Answer 17

latent phase

Question 18

what causes a longer than usual latent phase?

Answer 18

“nonripe” cervix

Question 19

as the nurse on duty, your patient asked you if you can give her analgesia while she’s on her latent phase. what is the appropriate answer you could tell your patient?

Answer 19

analgesia given too early may prolong the latent phase.

Question 20

what is the reason for a prolonged latent phase?

Answer 20

cephalopelvic disproportion

Question 21

what can your patient do and should do while she’s in her latent phase?

Answer 21

continue to walk and prepare for birth

Question 22

as the nurse on duty, what are the alternative methods you can give for pain relief during latent phase?

Answer 22

aromatherapy or distraction