Physiological AdaptationQuestion 1077 of 2368

Which finding best indicates that a client has entered the active phase of the first stage of labor?

  1. The client is excited and talkative between and during contractions.
  2. Contractions last 30 to 45 seconds and occur every 5 to 10 minutes.
  3. The client reports backache and menstrual-like cramping only.
  4. The client cannot answer questions during contractions and reports rectal pressure.
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Correct answer: The client cannot answer questions during contractions and reports rectal pressure.

Active labor brings an inward focus, inability to converse during contractions, and vaginal or rectal pressure.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Labor & Delivery Care: First Stage of Labor. Licensed under CC BY 4.0.

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026