Abnormal Labor and Dystocia

Question 1

At ___cm of dilatation, fetus is entering the deceleration phase

Answer 1

8cm

Question 2

Fetal descent begins at the ____________ phase and continues into the _____________ phase

Answer 2

Deceleration
Descent

Question 3

Normal duration of labor in the latent phase in Nulliparas vs Multiparas

Answer 3

Nulliparas: 20 hours
Multiparas: 14 hours

Question 4

Normal rate of cervical dilatation in the Active phase of labor for Nulliparas vs Multiparas

Answer 4

Nulliparas: 1.2cm/hour
Multiparas: 1.5cm/hour

Question 5

Normal rate of fetal descent in the pelvic division of labor for Nulliparas vs Multiparas

Answer 5

Nulliparas: ≥ 1cm/hour
Multiparas: ≥ 2cm/hour

Question 6

Disorders of the Latent Phase

Answer 6

> False Labor
Excess sedation/analgesia
Unfavorable cervix
Hypotonix uterine dysfunction

Question 7

Hypotonic vs Hypertonix uterine dysfunction

___________ dysfunction: synchronized contractions;
___________ dysfunction: asynchronized contractions;

Answer 7

Hypotonic; Hypertonic

Question 8

Management for Hypotonic vs Hypertonix uterine dysfunction

Answer 8

Hypotonic UD: Oxytocin
Hypertonic UD: Sedation

Question 9

It is not advised to give sedation/analgesia until which phase of labor?

Answer 9

Active phase (3cm dilatation)

Otherwise may cause prolonged latent phase

Question 10

Definition of Prolonged latent phase for Nulliparas vs Multiparas

Answer 10

Nulliparas: > 20 hours
Multiparas: > 14 hours

Question 11

Disorders of the Active Phase of Labor

Answer 11

> Protracted Active phase
Arrest of Cervical dilatation
Arrest of Fetal descent