CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

Which of the following clients is most likely considered for vacuum extraction?
  1. A 43 - year - old G1P0 client at 38 weeks’ gestation who is in prolonged second stage of labor. The fetal position is LOA
  2. A 39 - year - old G5P3 client at 39 weeks’ gestation who is expected to have shortening of the second stage of labor. The fetus is in complete breech position. Cervical dilatation is 3 cm.
  3. An 18 - year - old G1P0 client at 38 weeks’ gestation with a fetal heart tone of 180 beats per minute. The fetus is in transverse lie. Cervical dilatation is 8 cm.
  4. A 25 - year - old G1P0 client at 32 weeks’ gestation who is in the second stage of labor for 5 hours. An epidural anesthesia is administered. The fetus is in frank breech position. Cervical dilatation is 10 cm.
Explanation
Answer: A - The most appropriate client for vacuum extraction is the 43 - year - old client in prolonged second stage of labor with a fetal position of LOA.
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