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OBG · Labour
Sample itemWhat marks the start of the second stage of labour?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Full cervical dilatation
The second stage begins when the cervix is fully dilated and ends with birth of the baby; it involves fetal descent and maternal expulsive efforts.
Option by option
A. Placental delivery
Placental delivery occurs in the third stage.
B. Full cervical dilatation (correct)
Correct: full cervical dilatation begins the second stage.
C. Onset of contractions
Contractions begin the first stage when labour is established.
D. Rupture of membranes
Membrane rupture can occur before or during labour.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.