Stages of Labor

Question 1

How many stages are in labor

Answer 1

4 stages

Question 2

What is the 1st stage of labor

Answer 2

Stage of Dilation

Question 3

When does the 1st stage of labor begin?

Answer 3

Onset of labor- regular, painful, uterine contractions

Question 4

When does the 1st stage of labor end?

Answer 4

Complete dilation of the cervix when the cervical goes to 0-10 cm

Question 5

How many phases is the first stage of labor?

Answer 5

2-3 phases

Question 6

Phase 1 of Stage 1

Answer 6

Latent Phase

Question 7

What is the dilation of the latent phase

Answer 7

0-5 cm

Question 8

What is the timing of contraction during the latent phase

Answer 8

2-30 mins apart
30-45 sec long

Question 9

Strength of the contractions during latent phase

Answer 9

Mild

Question 10

Emotions during latent phase

Answer 10

Excited, talkative, confident, anxious, withdrawn

Question 11

Pain during latent phase

Answer 11

Mild (can talk through)

Question 12

Length of time Latent phase

Answer 12

10-14 hrs

Question 13

Show of Latent phase

Answer 13

Scant amount, brownish discharge, mucous plug, pale pink mucous

Question 14

Phase 2 of Stage 1

Answer 14

Active Phase

Question 15

Beginning of Active Phase

Answer 15

More active contractions

Question 16

Dilation of Active Phase

Answer 16

6-10 cm

Question 17

Timing of contractions Active Phase

Answer 17

1.5- 5 mins apart
60-90 sec long regular

Question 18

Strength of Contractions Active Phase

Answer 18

Moderate-Strong

Question 19

Emotions of Active Phase

Answer 19

Quiet, concentrated

Question 20

Pain of Active Phase

Answer 20

Moderate to severe– breathing through contractions

Question 21

Length of time Active Phase

Answer 21

1cm per hour (nulliparous)
1.5 per hour (multiparous)

Question 22

Show of Active Phase

Answer 22

Pink to bloody, moderate to copious

Question 23

Third Phase

Answer 23

Transition Phase

Question 24

Beginning of Transition Phase

Answer 24

More frequent, stronger contractions

Question 25

Dilation of Transition Phase

Answer 25

8- 10 cm

Question 26

Timing of Contractions Transition Phase

Answer 26

2-3 min apart 60-90 sec long

Question 27

Strength of Contractions Transition Phase

Answer 27

Moderate - Strong

Question 28

Emotions of Transition Phase

Answer 28

Difficulty coping, irritated, agitated, tired, hopeless

Question 29

Pain of Transition phase

Answer 29

Severe Feel rectal pressure or urge to push

Question 30

Length of time Transition phase

Answer 30

Equal or faster than active bowel

Question 31

Nursing care during the first stage

Answer 31

Assess pt Assess FHR Manage pain Emotional support Encourage or assist in position changes Assisting with interventions Advocate for patient's needs

Question 32

When does the 2nd stage of labor begin

Answer 32

Full dilation (10 cm)

Question 33

When does the 2nd stage of labor ends

Answer 33

Birth of the infant

Question 34

Emotions of 2nd stage of labor

Answer 34

Burst of energy, exhaustion, excitement, and fear

Question 35

How long does stage 2 last?

Answer 35

15 mins to 4 hrs

Question 36

T or F: The nurse maintain bedside with the mother during 2nd stage

Answer 36

True

Question 37

Nursing care during stage 2

Answer 37

Assist with positioning (esp w/ epidural) Coach for effective pushing Offer reassurance and encouragement Prepare for delivery

Question 38

The third Stage of Labor begins

Answer 38

Birth of the infant

Question 39

The 3rd stage of labor ends

Answer 39

Birth of the placenta

Question 40

How long does 3rd stage lasts

Answer 40

5-10 mins can be 30 mins

Question 41

What is the mother focuses on the 3rd stage of labor

Answer 41

Infant Crying and relief

Question 42

What happens if there is a piece of placenta still left

Answer 42

The mother's body still provides it what its needs which results in prolonged bleeding ( postpartum hemorrhage)

Question 43

Nursing care during 3rd stage

Answer 43

Immediate infant care Assign APGAR score: wellness of the baby ID infant and mother Administer utertonics Emotional support Assisting w/ interventions

Question 44

What happens if the placenta does not deliver in the 30 mins (intervention)

Answer 44

The doctor will perform a DC or manual extraction

Question 45

Fourth Stage of Labor

Answer 45

Recovery

Question 46

When does the 4th stage of labor begin

Answer 46

Birth of the placenta

Question 47

Lochia rubra

Answer 47

Bleeding after delivery; heavy period but should return to normal period flow

Question 48

Uterus rt to 4th stage

Answer 48

Should be fully contracted

Question 49

What can help the uterus contract

Answer 49

Massaging the fundus Breastfeeding Oxytocin (any uterotonics)

Question 50

Nursing care during 4th stage

Answer 50

Assist w/ feeding Assist w/ the golden hour Administer baby medications Assess BP, HR, and fundus q 15 mins Take temperature q 4 hr 2x then 8 hr Assess Bladder Assess Lochia Assess Perineum