Labor Augmentation and Cesarean Birth Management
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Questions and Answers

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?

    <p>To augment labor when CPD is not present</p> Signup and view all the answers

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

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

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

    <p>Cesarean birth may be necessary</p> Signup and view all the answers

    What is shoulder dystocia?

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

    What is hypotonic contractions?

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

    What is inertia in terms of labor?

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

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

    <p>Active phase</p> Signup and view all the answers

    What is classified as primary dysfunction during labor?

    <p>Dysfunction occurring at the onset of labor</p> Signup and view all the answers

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

    <p>Prolonged labor</p> Signup and view all the answers

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

    <p>Provide hydration, pain relief, and promote rest</p> 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:

    <p>Proceed with a cesarean delivery</p> Signup and view all the answers

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

    <p>Fetal malposition or cephalopelvic disproportion</p> 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?

    <p>Perform an amniotomy to accelerate labor</p> Signup and view all the answers

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

    <p>Prolonged deceleration phase</p> Signup and view all the answers

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

    <p>Administering oxytocin to regulate contractions</p> Signup and view all the answers

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