CNM Certified Nurse Midwife

Category - Intrapartum

Start a Study Session Sign up for Question of the Day

A multiparous client at 38 weeks’ gestation has been in the latent phase of labor for over 15 hours. Which of the following are likely causes of the dysfunctional labor?

I.Cephalopelvic disproportion
II.Analgesia is given too early in labor
III.Abnormal fetal head position
IV.Hypertonic contractions

I and II
I and III
I, II and III
All of the above are likely causes.

Explanation

Answer: A - Cephalopelvic disproportion and analgesia given too early in labor are the most likely causes of prolonged latent phase of labor. Abnormal fetal head position causes prolonged deceleration phase. Hypertonic contractions are the usual cause of prolonged descent.

Was this helpful? Upvote!

Start a Study Session Sign up for Question of the Day

Top questions

41 votes

A 20-year-old female client comes to the clinic due to abdominal cramping. She informs the nurse midwife that it is more than a month and a half past the date of her expected menstrual period. The client’s human chorionic gonotropin level is 5,500 mIU/mL. Pregnancy is suspected. Which diagnostic test should the nurse midwife order to obtain the most accurate diagnosis of pregnancy at this time?
17 votes

A 25-year-old female client at 10 weeks’ gestation comes to the clinic for her first prenatal visit. It is the client’s first pregnancy. The client is concerned about the chances of her child developing Down syndrome. The client’s medical and family history is not remarkable. When the client asks about the risk factors associated with Down syndrome, which of the following statements by the nurse midwife is the most accurate?
14 votes

A 35-year-old visits the nurse midwife after a home pregnancy test indicated a positive result. The client informs the nurse that the pregnancy is not planned and that she has been taking progestin-only birth control pills for the past year. During the history taking, the client informs the nurse that she has been taking isotretinoin for her severe, recalcitrant cystic acne for three months before the pregnancy. The client drinks at least three bottles of beer a day and is taking cocaine on a daily basis. Based on the client’s history, which of the following substances is least likely to cause birth defects?
11 votes

A nurse midwife is teaching a group of nursing students about the stages of fetal development. Which of the following terms refers to the stage from fertilization to implantation?
11 votes

A 32-year-old female client at 28 weeks’ gestation complains of backache, especially at night. The nurse midwife teaches which of the following exercises to relieve the discomfort?

Most popular on PracticeQuiz

219 votes

You are attempting to gather information from a patient, but they are having a hard time trying to communicate since they were hit in the throat by a baseball bat. What is the function of the vocal cords? NREMT Advanced EMT
209 votes

An 8-year-old boy named Albert has a 10-year-old brother named Benny. Benny joins the service at 20 leaving Albert feeling bitter that he no longer has a brother to look up to. After 7 years, Albert is finally ready to make up with Benny who has been out of the service for 5 years. How old is Albert now? GED Exam Prep: Math
185 votes

Using motivation from ‘within’ is called ______________. CPCE Exam Prep
177 votes

The lymphatic system contains four organs: Medical Coding Exam Prep
127 votes

“A set of specialized organizational capabilities for providing value to customers in the form of services” is the official definition of: IT Service Management Foundation Practice Test

Ad-Blocker not supported

CNM Certified Nurse Midwife

Top questions

Related questions

Most popular on PracticeQuiz