Maternity Nursing Q 379
At what stage of labor and delivery does a primigravida differ mainly from a multigravida?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Correct Answer: A. Stage 1
In stage 1 during normal vaginal delivery of a vertex presentation, the multigravida may have about 8 hours of labor while the primigravida may have up to 12 hours labor.
Option B: The second stage of labor commences with complete cervical dilation to 10 centimeters and ends with the delivery of the neonate. In women who have delivered vaginally previously, whose bodies have acclimated to delivering a fetus, the second stage may only require a brief trial, whereas a longer duration may be required for a nulliparous female.
Option C: The third stage of labor commences when the fetus is delivered and concludes with the delivery of the placenta. Separation of the placenta from the uterine interface is hallmarked by three cardinal signs including a gush of blood at the vagina, lengthening of the umbilical cord, and a globular shaped uterine fundus on palpation.
Option D: During the fourth stage of labor, the baby is born, the placenta has delivered, and the woman and her partner will probably feel joy, relief, and fatigue. Most babies are ready to nurse within a short period after birth. Others wait a little longer. If the woman is planning to breastfeed, it is strongly encouraged to try to nurse as soon as possible after the baby is born. Nursing right after birth will help the uterus to contract and will decrease the amount of bleeding.