Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A nullipara has been in the latent phase of labor for over 20 hours. Prolonged latent phase is diagnosed. Which of the following findings would be expected for this client?
  1. Uterine contractions at 12 mm Hg
  2. Bishop score - 8
  3. Uterine relaxation between contractions is adequate.
  4. The uterus is in the hypotonic state.
Explanation
Answer: A - Uterine contractions with intensities below 15 mm Hg are usually noted in clients with prolonged latent phase. Other findings may include inadequate uterine relaxation between contractions and uterus in the hypertonic state. A Bishop score of 8 indicates a ripe cervix, an assessment finding that is not usually seen in clients diagnosed with prolonged latent phase.
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