NM704 Exam 2: Complete Solutions For Every Question
Relationship btwn the framework used for care r/t labor progress & c/s birth
rates Right Ans - - unclear --> no specific criteria
- non-progressive labor is most common reason for c/s & repeat c/s
Prior to friedman's research prolonged labor was defined as Right Ans - -
lasting longer than 24 hrs
Friedman's view Right Ans - - rate of progress is more important than total
length of labor
1st stage of labor --friedman's definition Right Ans - - begins with onset of
contractions & ends with complete cervical dilation
2nd stage of labor --
Friedman's definition Right Ans - - beginning with complete cervical
dilation & ending with birth of baby
Onset of active phase of labor -- friedman's definition Right Ans - - occurs
when there is distinct increase in RATE of dilation in 1st stage of labor
Average dilation at onset of active phase of labor -- friedman's definition
Right Ans - 3 cm
Friedman's definition of onset of active phase -- applied clinically Right Ans
- - 3 cm is used as a guide for beginning of this phase
--> this is inaccurate --> *active labor can NOT be defined by a specific
dilation*
Contemporary research --
Onset of active phase Right Ans - - many women are not in active labor
until 5 or 6 cm
Expectations of progress in active vs latent phase Right Ans - - if woman is
thought to be in active phase but is NOT progressing quickly enough --> she
may be subjected to unnecessary interventions = stay at home as long as
possible
, 1st stage / latent phase (friedman) -- normal progress Right Ans - - based
on total duration --> NOT rate of dilation per hr
Primip/nullipara -- 1st stage / latent phase (friedman) -- normal progress
Right Ans - < 20 hrs
multip -- 1st stage / latent phase (friedman) -- normal progress Right Ans -
< 14 hrs
primip/nullipara -- 1st stage / active phase (friedman) -- normal progress
Right Ans - at least 1.2 cm/hr dilation
multip -- 1st stage / active phase (friedman) -- normal progress Right Ans -
at least 1.5 cm/hr dilation
contemporary research -- found active labor begins Right Ans - around 5-6
cm
contemporary research -- range of "normal" Right Ans - 0.5-0..5-1.3
cm/hr
friedman's 2nd stage of labor -- normal progress Right Ans - - beginning
with complete cervical dilation & ending with birth of baby
primip/nullipara -- 2nd stage (friedman) -- normal progress Right Ans - 1
cm/hr descent
multip -- 2nd stage (friedman) -- normal progress Right Ans - 2 cm/hr
descent
descent Right Ans - - may begin during 1st stage of labor --> *protracted &
arrested descent can only be Dx in 2nd stage*
primip/nullipara prolonged latent phase -- abnormal labor (friedman)
Right Ans - > 20 hrs
multip prolonged latent phase -- abnormal labor (friedman) Right Ans - >
14 hrs
Relationship btwn the framework used for care r/t labor progress & c/s birth
rates Right Ans - - unclear --> no specific criteria
- non-progressive labor is most common reason for c/s & repeat c/s
Prior to friedman's research prolonged labor was defined as Right Ans - -
lasting longer than 24 hrs
Friedman's view Right Ans - - rate of progress is more important than total
length of labor
1st stage of labor --friedman's definition Right Ans - - begins with onset of
contractions & ends with complete cervical dilation
2nd stage of labor --
Friedman's definition Right Ans - - beginning with complete cervical
dilation & ending with birth of baby
Onset of active phase of labor -- friedman's definition Right Ans - - occurs
when there is distinct increase in RATE of dilation in 1st stage of labor
Average dilation at onset of active phase of labor -- friedman's definition
Right Ans - 3 cm
Friedman's definition of onset of active phase -- applied clinically Right Ans
- - 3 cm is used as a guide for beginning of this phase
--> this is inaccurate --> *active labor can NOT be defined by a specific
dilation*
Contemporary research --
Onset of active phase Right Ans - - many women are not in active labor
until 5 or 6 cm
Expectations of progress in active vs latent phase Right Ans - - if woman is
thought to be in active phase but is NOT progressing quickly enough --> she
may be subjected to unnecessary interventions = stay at home as long as
possible
, 1st stage / latent phase (friedman) -- normal progress Right Ans - - based
on total duration --> NOT rate of dilation per hr
Primip/nullipara -- 1st stage / latent phase (friedman) -- normal progress
Right Ans - < 20 hrs
multip -- 1st stage / latent phase (friedman) -- normal progress Right Ans -
< 14 hrs
primip/nullipara -- 1st stage / active phase (friedman) -- normal progress
Right Ans - at least 1.2 cm/hr dilation
multip -- 1st stage / active phase (friedman) -- normal progress Right Ans -
at least 1.5 cm/hr dilation
contemporary research -- found active labor begins Right Ans - around 5-6
cm
contemporary research -- range of "normal" Right Ans - 0.5-0..5-1.3
cm/hr
friedman's 2nd stage of labor -- normal progress Right Ans - - beginning
with complete cervical dilation & ending with birth of baby
primip/nullipara -- 2nd stage (friedman) -- normal progress Right Ans - 1
cm/hr descent
multip -- 2nd stage (friedman) -- normal progress Right Ans - 2 cm/hr
descent
descent Right Ans - - may begin during 1st stage of labor --> *protracted &
arrested descent can only be Dx in 2nd stage*
primip/nullipara prolonged latent phase -- abnormal labor (friedman)
Right Ans - > 20 hrs
multip prolonged latent phase -- abnormal labor (friedman) Right Ans - >
14 hrs
