Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 2nd gravida occurred at 40 weeks of pregnancy with abdominal pain. Examination revealed that the uterus was contracting and retracting. On P/V/E, cervix was effaced (OS - 3 cm dilated). After completing the diagnosis, state the complication affecting this woman. (Choose all that apply)
  1. Cervical dystocia
  2. Retained placenta
  3. Hypotonic uterine contraction
  4. Pulmonary embolism
Explanation
Answer: A - Cervical dystocia and C. Hypotonic uterine contraction

This is a case of a full - term pregnancy (2nd gravida) with a first stage normal labor. The first stage starts from the onset of true labor pain and ends with full dilatation of cervix. The complications of the first stage of labor include early rupture of membrane, hypotonic uterine contraction, cervical dystocia, and fetal distress. Retained placenta and pulmonary embolism are complications of the third stage of labor.
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