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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Active phase (D)</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 (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

<p>Technological limitations (A)</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 (C)</p> Signup and view all the answers

When does the second stage of labor begin?

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

What is a limitation of digital examination during labor?

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

Nulliparous patients generally have faster labors than parous patients.

<p>False (B)</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 (B)</p> Signup and view all the answers

Cervical dilation becomes faster after the cervix is completely closed.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</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 (B)</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 (B)</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 (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</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 (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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