Maternity Nursing Q 9
The second stage of labor begins with ___ and ends with __?
A. Begins with full dilatation of cervix and ends with delivery of placenta.
B. Begins with true labor pains and ends with delivery of the baby.
C. Begins with complete dilatation and effacement of cervix and ends with delivery of the baby.
D. Begins with passage of show and ends with full dilatation and effacement of cervix.
Correct Answer: C. Begins with complete dilatation and effacement of cervix and ends with delivery of baby
Stage 2 of labor and delivery process begins with full dilatation of the cervix and ends with the delivery of the baby. Stage 1 begins with true labor pains and ends with full dilatation and effacement of the cervix.
Option A: The second stage of labor commences with complete cervical dilation to 10 centimeters and ends with the delivery of the neonate. This was also defined as the pelvic division phase by Friedman. After cervical dilation is complete, the fetus descends into the vaginal canal with or without maternal pushing efforts. The fetus passes through the birth canal via 7 movements known as the cardinal movements.
Option B: The first stage of labor begins when labor starts and ends with full cervical dilation to 10 centimeters. Labor often begins spontaneously or may be induced medically for a variety of maternal or fetal indications.
Option D: During the latent phase, the cervix dilates slowly to approximately 6 centimeters. The latent phase is generally considerably longer and less predictable with regard to the rate of cervical change than is observed in the active phase. Active labor with more rapid cervical dilation generally starts around 6 centimeters of dilation. During the active phase, the cervix typically dilated at a rate of 1.2 to 1.5 centimeters per hour. Multiparas, or women with a history of prior vaginal delivery, tend to demonstrate more rapid cervical dilation.