Which client at term should go to the hospital or birth center the soonest after labor begins?
a. Gravida 2, para 1, who lives 10 minutes away
b. Gravida 1, para 0, who lives 40 minutes away
c. Gravida 2, para 1, whose first labor lasted 16 hours
d. Gravida 3, para 2, whose longest previous labor was 4 hours
ANS: D
Multiparous women usually have shorter labors than do nulliparous women. The woman described in option D 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 because her first labor was 16 hours.
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