A primigravida patient arrives in the labor and delivery unit and describes her contractions as occurring every 10–12 minutes, lasting 30 seconds. She is smiling and very excited about the possibility of being in labor
On exam, her cervix is dilated 2 cm, 100% effaced, and -2 station. What best describes this labor? 1. Second phase
2. Latent phase
3. Active phase
4. Transition phase
2
Rationale 1: There is no phase of labor that is identified as the second phase.
Rationale 2: The latent phase of labor starts with the beginning of regular mild contractions. The mother is talkative and excited, and has minimal cervical changes.
Rationale 3: During the active phase, the woman's cervix dilates from 3–4 cm to 8 cm, and the mother has an increasing level of anxiety.
Rationale 4: During transition, the cervix dilates from 8 to 10 cm, and the mother becomes restless.
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