The nurse assesses a laboring patient's contraction pattern and notes the frequency at every 3 to 4 minutes, duration 50 to 60 seconds, and the intensity is moderate by palpation. What is the most accurate documentation for this contraction pattern?
A) Stage 1, latent phase
B) Stage 2, latent phase
C) Stage 1, active phase
D) Stage 2, active phase

Question

Quizplus · Accepted Answer

In the active phase of stage 1, contractions are about 2 to 5 minutes apart, with a duration of about 40 to 60 seconds and an intensity that ranges from moderate to strong. During the latent phase of stage 1, the interval between contractions shortens until contractions are about 5 minutes apart. Duration increases to 30 to 40 seconds by the end of the latent phase. During stage 2, latent phase, the woman is resting and preparing to push; she likely has not experienced the pushing reflex (sometimes referred to as the Ferguson reflex). She is actively bearing down during the active phase of the second stage.

The Nurse Assesses a Laboring Patient's Contraction Pattern and Notes