RASMUSSEN MCH EXAM 2 QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
Stage 1 of Labor [Includes 3 Phases] - ANS All of labor, longest stage (no time-stamp though)
0-10 dilation Variable (longest stage) [plan for issues]
Three phases of Stage 1 of Labor - ANS Latent, Active, Transition
Latent Phase (1st phase of stage 1) - ANS -longest phase
-most variable
-not a lot of risk factors because no regular cervical change
-contractions 5 to 30 min apart, lasting about 30 to 45 seconds
-from 0 to 3cm dilated
Active Phase (2nd phase of stage 1) - ANS -contractions more regular (3 to 5 mins apart),
lasting about 40 to 70 seconds
-from 4 to 7cm dilated
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,-contractions should progress 1 to 1.5 cm dilation per hour
-active phase is usually 2 to 3 hours long!
Nursing Interventions for the Active Phase - ANS -patient/fetal monitoring
-frequent position changes
-walking (if not contraindicated)
-sit in a chair/birthing ball (while on monitor)
-keep bladder empty!! (encourage voiding q2h or foley if she has an epidural)
-provide pain management as prescribed
Augment Labor during the Active Phase - ANS -change position, walking, artificial rupture of
membranes, sitting on a birthing ball
-Pitocin [aka vitamin P] ↑BP
Pitocin - ANS -started at 2 to 3 milliunits per minute in 3 ml of fluids
-can be titrated every 30 mins (maximum dose is 20 milliunits)
-goal contractions is NO LESS than 2 to 3 mins apart
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Behavior of mom during Active Phase of labor - ANS anxiety, restlessness, focused on
contractions, and introverted
Medications during Active Phase of labor - ANS -IV push- Nubain, Stadol, Demerol
***best time to give is at the peak of a contraction, because less med goes to baby!! (during
contractions, the baby has less placental bloodflow)
Transition Phase of Labor (3rd phase of stage 1) - ANS -contractions 2 to 3 mins apart, lasting
60 to 90 seconds
-from 8 to 10 cm dilated
-patient is tired, feels like she has to push, and irritable (DO NOT LET HER PUSH! - she will tear
her cervix)
-might say she needs to have a bowel movement (indicative of full dilation)
Stage 2 of Labor [Delivery of the Baby] - ANS -lasts no longer than 2 hours (could be really
fast for multiparous women)
-intense contractions every 1-2 minutes
-BP, pulse, respirations q 5-15 mins
-patient to push with each contraction
-results in delivery of baby
Stage 3 [Delivery of Placenta] - ANS -5 to 30 mins in duration
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
Stage 1 of Labor [Includes 3 Phases] - ANS All of labor, longest stage (no time-stamp though)
0-10 dilation Variable (longest stage) [plan for issues]
Three phases of Stage 1 of Labor - ANS Latent, Active, Transition
Latent Phase (1st phase of stage 1) - ANS -longest phase
-most variable
-not a lot of risk factors because no regular cervical change
-contractions 5 to 30 min apart, lasting about 30 to 45 seconds
-from 0 to 3cm dilated
Active Phase (2nd phase of stage 1) - ANS -contractions more regular (3 to 5 mins apart),
lasting about 40 to 70 seconds
-from 4 to 7cm dilated
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,-contractions should progress 1 to 1.5 cm dilation per hour
-active phase is usually 2 to 3 hours long!
Nursing Interventions for the Active Phase - ANS -patient/fetal monitoring
-frequent position changes
-walking (if not contraindicated)
-sit in a chair/birthing ball (while on monitor)
-keep bladder empty!! (encourage voiding q2h or foley if she has an epidural)
-provide pain management as prescribed
Augment Labor during the Active Phase - ANS -change position, walking, artificial rupture of
membranes, sitting on a birthing ball
-Pitocin [aka vitamin P] ↑BP
Pitocin - ANS -started at 2 to 3 milliunits per minute in 3 ml of fluids
-can be titrated every 30 mins (maximum dose is 20 milliunits)
-goal contractions is NO LESS than 2 to 3 mins apart
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Behavior of mom during Active Phase of labor - ANS anxiety, restlessness, focused on
contractions, and introverted
Medications during Active Phase of labor - ANS -IV push- Nubain, Stadol, Demerol
***best time to give is at the peak of a contraction, because less med goes to baby!! (during
contractions, the baby has less placental bloodflow)
Transition Phase of Labor (3rd phase of stage 1) - ANS -contractions 2 to 3 mins apart, lasting
60 to 90 seconds
-from 8 to 10 cm dilated
-patient is tired, feels like she has to push, and irritable (DO NOT LET HER PUSH! - she will tear
her cervix)
-might say she needs to have a bowel movement (indicative of full dilation)
Stage 2 of Labor [Delivery of the Baby] - ANS -lasts no longer than 2 hours (could be really
fast for multiparous women)
-intense contractions every 1-2 minutes
-BP, pulse, respirations q 5-15 mins
-patient to push with each contraction
-results in delivery of baby
Stage 3 [Delivery of Placenta] - ANS -5 to 30 mins in duration
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
