Flipped-C Parturition
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Questions and Answers

What is the mean error of digital examination when cervical dilation is >8 cm?

  • 0.50 ± 1.20 cm
  • 1.25 ± 0.87 cm
  • 1.50 ± 0.70 cm
  • 0.75 ± 0.73 cm (correct)
  • What defines the latent phase during labor?

  • Complete cervical dilation
  • Rapid cervical change
  • Gradual cervical change (correct)
  • Mild and infrequent contractions
  • Which tool allows graphic comparison of cervical dilation progress over time with expected progress?

  • Position-tracking system
  • Nondigital method
  • Partogram (correct)
  • WHO guidelines
  • In nulliparous patients, where does the inflection point in labor often occur?

    <p>At approximately 6 cm or more dilation</p> Signup and view all the answers

    What does right deviation from the expected labor progress curve on a partogram suggest?

    <p>Protraction or arrest disorder</p> Signup and view all the answers

    Which phase of labor is characterized by more rapid cervical change?

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

    What has not been proven to significantly improve obstetric outcome according to the text?

    <p>Routine use of a partogram</p> Signup and view all the answers

    What is the effect of right deviation from the expected labor progress curve on a partogram?

    <p>Protraction or arrest disorder</p> Signup and view all the answers

    How is the onset of labor typically identified?

    <p>Regular contractions every 3-5 minutes for more than an hour</p> Signup and view all the answers

    Why is a nondigital method for examining cervical dilation not available for clinical use?

    <p>Technological limitations</p> Signup and view all the answers

    Why is it impossible to determine precise times of labor onset and complete dilation?

    <p>Cervical changes are subtle at the beginning</p> Signup and view all the answers

    When does the second stage of labor begin?

    <p>At complete dilation</p> Signup and view all the answers

    When are cervical examinations usually performed during labor?

    <p>At regular intervals in the first and second stages</p> Signup and view all the answers

    What is a limitation of digital examination during labor?

    <p>It is imprecise for determining labor progress</p> Signup and view all the answers

    In induced labors, how do the active phase and second stage durations compare to spontaneous labors?

    <p>Similar in both types of labors</p> Signup and view all the answers

    When is a cervical examination performed to evaluate fetal descent during labor?

    <p>At one- to two-hour intervals in the second stage</p> Signup and view all the answers

    Why are more frequent cervical examinations discouraged during labor?

    <p>They raise the risk of contaminating intrauterine contents with vaginal flora</p> Signup and view all the answers

    What triggers a cervical examination to determine full dilation of the cervix?

    <p>The parturient feeling the urge to push</p> Signup and view all the answers

    Nulliparous patients generally have faster labors than parous patients.

    <p>False</p> Signup and view all the answers

    Abnormal labor, dystocia, and failure to progress are precise terms used to describe deviations in labor patterns.

    <p>False</p> Signup and view all the answers

    Cervical dilation becomes faster after the cervix is completely closed.

    <p>False</p> Signup and view all the answers

    The second stage of labor involves descent and eventual expulsion of the fetus.

    <p>True</p> Signup and view all the answers

    Determining whether labor is progressing normally is not a key component of intrapartum care.

    <p>False</p> Signup and view all the answers

    Measuring the progress of labor is an exact science according to the text.

    <p>False</p> Signup and view all the answers

    The Friedman curve was based on the evaluation of 500 nulliparous and 500 parous patients in the mid-1950s.

    <p>True</p> Signup and view all the answers

    The latent phase of labor is characterized by slow cervical dilation until 3 to 4 cm.

    <p>True</p> Signup and view all the answers

    The active phase of labor begins when the cervix reaches 9 cm of dilation.

    <p>False</p> Signup and view all the answers

    The deceleration phase in cervical dilation occurs around 9 cm of dilation.

    <p>True</p> Signup and view all the answers

    The rate of cervical dilation during the active phase is slower for nulliparous patients compared to parous patients.

    <p>False</p> Signup and view all the answers

    The norms established by the Friedman curve have never been widely accepted as the standard for assessment of normal labor progression.

    <p>False</p> Signup and view all the answers

    In induced labors, the active phase and second stage durations are generally longer than in spontaneous labors.

    <p>False</p> Signup and view all the answers

    Cervical examinations are performed every two to four hours during the first stage of labor.

    <p>True</p> Signup and view all the answers

    More frequent cervical examinations increase the risk of contaminating the intrauterine contents with vaginal flora.

    <p>True</p> Signup and view all the answers

    Digital examination can precisely determine whether cervical dilation and fetal descent are advancing slowly or not at all.

    <p>False</p> Signup and view all the answers

    Cervical examinations are performed when the parturient feels the urge to push.

    <p>False</p> Signup and view all the answers

    During labor, more frequent examinations are discouraged to avoid contaminating the intrauterine contents with analgesia.

    <p>False</p> Signup and view all the answers

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