North American Registry of Midwives (NARM) Practice Exam

What is a key characteristic of the deceleration phase in active labor?

1. Increase in maternal blood pressure

2. Decrease in cervix dilation rate

3. Stable fetal heart rate patterns

4. Increased maternal discomfort

The correct answer is: Decrease in cervix dilation rate

The deceleration phase in active labor is characterized by a decrease in the cervix dilation rate. During this phase, labor may slow down or progress less rapidly, which can indicate that the body is adjusting or responding to various factors such as the fetal position, maternal fatigue, or even the emotional state of the laboring person. Understanding this characteristic is crucial for midwives and clinicians to assess labor progression accurately and provide appropriate support and interventions when necessary. In contrast to a steady or accelerated dilating rate, a decrease suggests a phase where careful monitoring is essential, as it could indicate the need for additional support or intervention to facilitate labor progression.