Which client at term should go to the hospital or birth center the soonest after labor be-gins?

a. Gravida 2, para 1 who lives 10 minutes away
b. Gravida 1, para 0 who lives 40 minutes away
c. Gravida 3, para 2 whose longest previous labor was 4 hours
d. Gravida 2, para 1 whose first labor lasted 16 hours


C
Multiparous women usually have shorter labors than do nulliparous women. The woman de-scribed in option c is multiparous with a history of rapid labors, increasing the likelihood that her infant might be born in uncontrolled circumstances.
A gravida 2 would be expected to have a longer labor than the gravida in option C. The fact that she lives close to the hospital allows her to stay home for a longer period of time.
A gravida 1 will be expected to have the longest labor.
The gravida 2 would be expected to have a longer labor than the gravida 3, especially since her first labor was 16 hours.

Nursing

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