NUR 2513 MATERNAL CHILD NURSING EXAM 2
2026-2027 QUESTIONS AND CORRECT ANSWERS
GRADED A+ RASMUSSEN
Which stage of labor is the longest (typically)?
The first
What are the 3 phases of the first stage of labor?
Latent, active, and transition
Describe the latent stage of labor
Begins with the establishment of regular contractions. Contractions are typically
about 5 minutes apart and last 30-45 seconds. They tend to be mild. Mother is
chatty and sociable. Cervical effacement and early dilation (0-3 cm) occurs. Can
last 10-14 hours.
Describe the active phase of labor
Characterized by more active contractions (every 3-5 minutes and last around 60
seconds) that are of a moderate to strong intensity. The mother becomes more
focused on each contraction. Cervical dilation advances more quickly (1 cm per
hour)
,Describe the transition phase of labor
Contractions are every 2-3 minutes that last 60-90 seconds. Mother may feel like
she can't continue; she may feel more rectal pressure and the urge to push. Increase
in bloody show.
First stage of labor signs
Begins with the onset of regular uterine contraction and ends with the complete
dilation of cervix
What phase of labor is the most intense?
Latent
Nursing role during the first stage of labor?
Support (presence, spirituality, promotion of comfort, etc), assessment of fetus,
assessment of mother, care for birth partner, and anticipatory care.
What is the second stage of labor?
Commences with full dilation of the cervix and ends with the birth of the infant.
Contractions remain similar to the transitional phase.
Important nursing action in the second stage of labor?
Encourage the mother to rest in between contractions
Primary nursing role in the third and fourth stages of labor?
,Providing immediate care for the newborn, assisting with the delivery of the
placenta, monitoring and assisting the mother with the physiological adjustments
of labor and birth, and facilitating the attachment between mother and baby
What is the third stage of labor?
It's the period of time between the birth of the baby up to the complete delivery of
the placenta. Usually last 5-10 minutes and can last up to 30 minutes.
What is the fourth stage of labor?
A time of physiological adaption that begins following the delivery of the placenta
and lasts 1-2 hours
Labs to know prior to delivery?
Group B streptococcus results, urinalysis, CBC, and ABO typing with Rh-factor
Vaginal examinations during labor?
Preformed digitally by the provider or nurse to assess for cervical dilation, decent
of the fetus, fetal positioning, and whether membranes are intact or ruptured.
Pain medications available for laboring mothers?
Sedatives, antimetics, barbituates, benzodiazepines, and H1 receptor agonists.
, Sedative use in labor?
Used in the first stage of labor to induce sleep and relieve pain; should not be given
in active labor due to the risk of fetal respiratory depression
Most commonly used barbituate in labor?
Secobarbital sodium (Seconal)
Why are barbituates rarely used during labor?
Undesirable effects: maternal and neonatal respiratory and vasomotor depression
(intesified when used concurrently with another CNS depressant), and because if
not given with an analgesic it will increase pain
Why are benzodiazepines used in labor?
Primarily to treat anxiety
What are H1-Receptor agonists?
Medications that block the action of histamines at the receptor sites that produce
sedative, antiemetic effects. Used in early labor to promote sleep and reduce
anxiety
What are some H1-Receptor agonists used in labor?
2026-2027 QUESTIONS AND CORRECT ANSWERS
GRADED A+ RASMUSSEN
Which stage of labor is the longest (typically)?
The first
What are the 3 phases of the first stage of labor?
Latent, active, and transition
Describe the latent stage of labor
Begins with the establishment of regular contractions. Contractions are typically
about 5 minutes apart and last 30-45 seconds. They tend to be mild. Mother is
chatty and sociable. Cervical effacement and early dilation (0-3 cm) occurs. Can
last 10-14 hours.
Describe the active phase of labor
Characterized by more active contractions (every 3-5 minutes and last around 60
seconds) that are of a moderate to strong intensity. The mother becomes more
focused on each contraction. Cervical dilation advances more quickly (1 cm per
hour)
,Describe the transition phase of labor
Contractions are every 2-3 minutes that last 60-90 seconds. Mother may feel like
she can't continue; she may feel more rectal pressure and the urge to push. Increase
in bloody show.
First stage of labor signs
Begins with the onset of regular uterine contraction and ends with the complete
dilation of cervix
What phase of labor is the most intense?
Latent
Nursing role during the first stage of labor?
Support (presence, spirituality, promotion of comfort, etc), assessment of fetus,
assessment of mother, care for birth partner, and anticipatory care.
What is the second stage of labor?
Commences with full dilation of the cervix and ends with the birth of the infant.
Contractions remain similar to the transitional phase.
Important nursing action in the second stage of labor?
Encourage the mother to rest in between contractions
Primary nursing role in the third and fourth stages of labor?
,Providing immediate care for the newborn, assisting with the delivery of the
placenta, monitoring and assisting the mother with the physiological adjustments
of labor and birth, and facilitating the attachment between mother and baby
What is the third stage of labor?
It's the period of time between the birth of the baby up to the complete delivery of
the placenta. Usually last 5-10 minutes and can last up to 30 minutes.
What is the fourth stage of labor?
A time of physiological adaption that begins following the delivery of the placenta
and lasts 1-2 hours
Labs to know prior to delivery?
Group B streptococcus results, urinalysis, CBC, and ABO typing with Rh-factor
Vaginal examinations during labor?
Preformed digitally by the provider or nurse to assess for cervical dilation, decent
of the fetus, fetal positioning, and whether membranes are intact or ruptured.
Pain medications available for laboring mothers?
Sedatives, antimetics, barbituates, benzodiazepines, and H1 receptor agonists.
, Sedative use in labor?
Used in the first stage of labor to induce sleep and relieve pain; should not be given
in active labor due to the risk of fetal respiratory depression
Most commonly used barbituate in labor?
Secobarbital sodium (Seconal)
Why are barbituates rarely used during labor?
Undesirable effects: maternal and neonatal respiratory and vasomotor depression
(intesified when used concurrently with another CNS depressant), and because if
not given with an analgesic it will increase pain
Why are benzodiazepines used in labor?
Primarily to treat anxiety
What are H1-Receptor agonists?
Medications that block the action of histamines at the receptor sites that produce
sedative, antiemetic effects. Used in early labor to promote sleep and reduce
anxiety
What are some H1-Receptor agonists used in labor?
