North American Registry of Midwives (NARM) Practice Exam

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What is the average length of the second stage of labor for primigravidas according to Friedman?

2 hours
1 hour
15 minutes
30 minutes

The correct answer is: 1 hour

The second stage of labor refers to the period from full dilation of the cervix to the birth of the baby. According to the guidelines established by Friedman, who conducted significant research on labor patterns, the average length of the second stage of labor for primigravidas—women who are experiencing labor for the first time—is about one hour. This timeframe is based on observational data that characterizes typical labor progression and is important for understanding normal labor lengths within a clinical context. Establishing an average duration helps healthcare providers manage labor more effectively, set expectations for patients, and identify any deviations that may signal complications. In contrast, the alternative choices either under or overestimate this timeframe, thus not aligning with Friedman's findings on primigravid labor dynamics.