Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is monitoring a client who was admitted to the labor and delivery unit about 5 hours ago. The nurse midwife notes a cervical dilatation of 5 cm. The contractions occurring every 5 minutes usually last between 50 and 55 seconds. The client is in which phase of labor?
  1. Latent phase
  2. Active phase
  3. Transition phase
  4. Second stage of labor
Explanation
Answer: B - The client is in the active phase of labor. The active phase of labor is the second phase of the first stage of labor. The latent phase is manifested by cervical dilatation from 0 to 3 cm and by contractions lasting 20 to 40 seconds. The active phase of labor is manifested by cervical dilatation from 4 to 7 cm and by contractions occurring every 3 to 5 minutes, each lasting 40 to 60 seconds. The transitional phase is manifested by cervical dilatation from 8 to 10 cm and by contractions lasting 60 to 90 seconds.
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