Labor Augmentation and Cesarean Birth Management

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What is the recommended management for a prolonged deceleration phase during labor?

Continuous fetal and uterine monitoring for at least 15 minutes (correct)

Administration of oxytocin to stimulate more effective contractions

Artificial rupture of membranes to accelerate labor

Immediate cesarean delivery

Which of the following is a common indication for a cesarean birth according to the text?

Excessive use of analgesics early in labor

Failure to progress in the second stage of labor (correct)

Uterine hypertonia

Prolonged latent phase of labor

How does the text describe the uterine contractions during a prolonged latent phase of labor?

Excessive and uncoordinated

Hypertonic with inadequate relaxation (correct)

Mild and ineffective

Regular and efficient

When is oxytocin administration recommended during labor?

To augment labor when CPD is not present Signup and view all the answers

What is the definition of a prolonged deceleration phase during labor according to the text?

Longer than 3 hours in a nullipara or 1 hour in a multipara Signup and view all the answers

What is the recommended management for a secondary arrest of dilatation during labor?

Cesarean birth may be necessary Signup and view all the answers

What is shoulder dystocia?

When the baby's shoulder gets caught above the mother's pubic bone after delivery of the head Signup and view all the answers

What is hypotonic contractions?

Infrequent contractions not exceeding 2-3 in a 10-minute period Signup and view all the answers

What is inertia in terms of labor?

Sluggishness of contractions or labor force being less than usual Signup and view all the answers

Which phase of labor does hypotonic contractions tend to occur in?

Active phase Signup and view all the answers

What is classified as primary dysfunction during labor?

Dysfunction occurring at the onset of labor Signup and view all the answers

Which factor can contribute to a higher risk of maternal postpartal infection, hemorrhage, and infant mortality?

Prolonged labor Signup and view all the answers

Which of the following is the most appropriate management for uncoordinated uterine contractions during labor?

Provide hydration, pain relief, and promote rest Signup and view all the answers

In the event of prolonged deceleration phase or lack of progress during the second stage of labor, the recommended course of action is:

Proceed with a cesarean delivery Signup and view all the answers

Which of the following is a potential indication for a cesarean delivery during labor?

Fetal malposition or cephalopelvic disproportion Signup and view all the answers

In the case of secondary arrest of dilatation during labor, which intervention may be considered if other measures fail?

Perform an amniotomy to accelerate labor Signup and view all the answers

Which of the following is a potential complication that may necessitate continuous fetal monitoring during labor?

Prolonged deceleration phase Signup and view all the answers

In the management of uncoordinated uterine contractions, which of the following interventions is NOT recommended?

Administering oxytocin to regulate contractions Signup and view all the answers