North American Registry of Midwives (NARM) Practice Exam

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What characterizes the active phase of labor?

Complete dilation of 10 cm
Dilation from 3-4 cm to 10 cm
Initial effacement of the cervix
The early Latent phase

The correct answer is: Dilation from 3-4 cm to 10 cm

The active phase of labor is characterized by dilation from 3-4 cm to 10 cm. This stage represents a significant progression in labor, where contractions become more frequent, intense, and regular compared to the earlier latent phase. During the active phase, women typically experience a rapid change in cervical dilation, which is crucial in preparing for the birth process. The range of dilation mentioned indicates that the cervix is moving towards full dilation, which is necessary for the delivery of the baby. Throughout this phase, the physical and emotional support provided to the laboring person plays a vital role in their experience of labor. Understanding the active phase is essential for midwives since it helps inform decisions about monitoring the laboring person's progress, providing appropriate interventions if needed, and offering reassurance and support during this more intense phase of labor.