nur 318 = the stages of labor – UPDATED Questions with 100% Verified Answers
nur 318 = the stages of labor – UPDATED
Questions with 100% Verified Answers
Section 1: Stage, First, Phase (Q1–Q11)
Question & Answer
Q1 first stage of labor
A the longest stage of labor ****
begins with the first true contraction and ends with full dilation (opening) of the cervix
because this stage lasts so long, it is divided into two phases, latent and active, each corresponding
to the progressive dilation of the cervix
from 0-10 cm in dilation
technically 3 phases - latent - active - transient
Q2 latent phase (1st stage)
A 0-6 cm dilated
effacement = 0-40%
nullipara = up to 20 hours multipara = up to 14 hours
contractions:
- frequency = every 5-10 mins
- duration = 30-45 seconds
- intensity = mild to palpation
Q3 active phase (1st stage)
A 6-10 cm dilated
effacement = 40-100%
nullipara = up to 6 hours multipara = up to 4 hours
contractions:
- frequency = every 2-5 mins
- duration = 45-60 seconds
- intensity = moderate to palpation
Q4 second stage of labor
A "expulsive stage"
from 10 cm (complete) dilation -> birth of newborn
may last up to 3 hours
contractions typically: - occur every 2 to 3 minutes - last 60 to 90 seconds - are strong by
palpation
the woman is usually intent on the work of pushing during this stage
2 phases: - pelvic phase - perineal phase
Q5 pelvic phase (2nd stage)
A period of fetal descent
Page 1 of 8
, nur 318 = the stages of labor – UPDATED Questions with 100% Verified Answers
Question & Answer
Q6 perineal phase (2nd stage)
A period of active pushing
nullipara = up to 3 hours multipara = up to 2 hours
contractions:
- frequency = every 2-3 mins
- duration = 60-90 seconds
- intensity = strong to palpation
mom feels a strong urge to push during the later part of this phase
Q7 there is a discrepancy between book and lecture with first stage, so here are the 3
phases of the first stage of labor according to Yesenia
A Latent phase - dilation 0-3 cm - effacement 0-40%
Active phase - dilation 4-7 cm - effacement 40 to 80%
Transition phase - dilation 8-10 cm - effacement 80 to 100%)
Q8 first
A the longest stage of labor *****
Q9 Latent phase (if we split first stage by 3)
A dilation 0-3 cm effacement 0-40%
mild anxiety, women can cope and focus
uses relaxation techniques, rest/sleep, change positions, ambulate, eat light food & drink
void every 2 hours
pain is mild/moderate
eat/drink/void
Q10 Active phase (if we split first stage by 3)
A dilation 4-7 cm effacement 40 to 80%
becomes more serious - "can I do this?" - focus more inward
fatigue
record: - ROM - vaginal exams - medications given - care provided
position changes
comfort measures: - relaxation techniques - massage - breathing
Q11 Transition phase (if we split first stage by 3)
A dilation 8-10 cm effacement 80 to 100%
loss of control - irritable - confused - narrow focus
ROM, vaginal exams, meds given, care provided
provide relief/assistance for partner - may need to take charge
may have urge to push: - teach to blow through the urge - change position
Section 2: Stage, Labor, Lecture (Q12–Q22)
Question & Answer
Q12 longer
A for first time moms, labor usually takes __________
Page 2 of 8
nur 318 = the stages of labor – UPDATED
Questions with 100% Verified Answers
Section 1: Stage, First, Phase (Q1–Q11)
Question & Answer
Q1 first stage of labor
A the longest stage of labor ****
begins with the first true contraction and ends with full dilation (opening) of the cervix
because this stage lasts so long, it is divided into two phases, latent and active, each corresponding
to the progressive dilation of the cervix
from 0-10 cm in dilation
technically 3 phases - latent - active - transient
Q2 latent phase (1st stage)
A 0-6 cm dilated
effacement = 0-40%
nullipara = up to 20 hours multipara = up to 14 hours
contractions:
- frequency = every 5-10 mins
- duration = 30-45 seconds
- intensity = mild to palpation
Q3 active phase (1st stage)
A 6-10 cm dilated
effacement = 40-100%
nullipara = up to 6 hours multipara = up to 4 hours
contractions:
- frequency = every 2-5 mins
- duration = 45-60 seconds
- intensity = moderate to palpation
Q4 second stage of labor
A "expulsive stage"
from 10 cm (complete) dilation -> birth of newborn
may last up to 3 hours
contractions typically: - occur every 2 to 3 minutes - last 60 to 90 seconds - are strong by
palpation
the woman is usually intent on the work of pushing during this stage
2 phases: - pelvic phase - perineal phase
Q5 pelvic phase (2nd stage)
A period of fetal descent
Page 1 of 8
, nur 318 = the stages of labor – UPDATED Questions with 100% Verified Answers
Question & Answer
Q6 perineal phase (2nd stage)
A period of active pushing
nullipara = up to 3 hours multipara = up to 2 hours
contractions:
- frequency = every 2-3 mins
- duration = 60-90 seconds
- intensity = strong to palpation
mom feels a strong urge to push during the later part of this phase
Q7 there is a discrepancy between book and lecture with first stage, so here are the 3
phases of the first stage of labor according to Yesenia
A Latent phase - dilation 0-3 cm - effacement 0-40%
Active phase - dilation 4-7 cm - effacement 40 to 80%
Transition phase - dilation 8-10 cm - effacement 80 to 100%)
Q8 first
A the longest stage of labor *****
Q9 Latent phase (if we split first stage by 3)
A dilation 0-3 cm effacement 0-40%
mild anxiety, women can cope and focus
uses relaxation techniques, rest/sleep, change positions, ambulate, eat light food & drink
void every 2 hours
pain is mild/moderate
eat/drink/void
Q10 Active phase (if we split first stage by 3)
A dilation 4-7 cm effacement 40 to 80%
becomes more serious - "can I do this?" - focus more inward
fatigue
record: - ROM - vaginal exams - medications given - care provided
position changes
comfort measures: - relaxation techniques - massage - breathing
Q11 Transition phase (if we split first stage by 3)
A dilation 8-10 cm effacement 80 to 100%
loss of control - irritable - confused - narrow focus
ROM, vaginal exams, meds given, care provided
provide relief/assistance for partner - may need to take charge
may have urge to push: - teach to blow through the urge - change position
Section 2: Stage, Labor, Lecture (Q12–Q22)
Question & Answer
Q12 longer
A for first time moms, labor usually takes __________
Page 2 of 8
