Skip to Main Content

Questions

Which of the following is preterm labor?

A. A patient at 37w3d with contractions every 3-5 minutes with cervical dilation of 1 cm 2 hours ago and cervical dilation of 3 cm now.

B. A patient at 35w3d with contractions every 7-20 minutes with cervical dilation of 1 cm 2 hours ago and cervical dilation of 1 cm now.

C. A patient at 33w3d with contractions every 3-5 minutes with cervical dilation of 1 cm 2 hours ago and cervical dilation of 3 cm now.

D. A patient at 31w3d with contractions every 7-20 minutes with cervical dilation of 1 cm 2 hours ago and cervical dilation of 1 cm now.

C. Preterm labor is defined as regular contractions associated with cervical change before the completion of 37 weeks of gestation.

A. this is a woman is considered to be a term gestation.

B is a woman with no cervical change, although she meets the criteria for preterm gestation.

C is a woman with a preterm gestation without cervical change and regular contractions.

Abnormal labor may lead to cesarean delivery in some cases. When would a cesarean delivery be indicated based on abnormal labor?

A. A patient who is 4 cm dilated for 2 hours without cervical change without oxytocin augmentation.

B. A patient who is 4 cm dilated for 6 hours without cervical change with oxytocin augmentation.

C. A patient who is 6 cm dilated for 2 hours without cervical change without oxytocin augmentation

D. A patient who is 6 cm dilated for 6 hours without cervical change with oxytocin augmentation

D. The definition of active labor is 6 cm with rapid acceleration after this dilation is reached. Dysfunctional labor occurs when continued cervical change does not occur and labor progress is arrested. A cesarean section would be indicated in this patient.

A. is not correct since she only meets the older criteria for active labor.

B. is not correct since more recent studies have indicated a slower dilation process between 4 and 6 cm.

C. is in active labor and should begin oxytocin therapy as treatment for a slow second stage of labor.

Which of the following is one of the physiologic changes that occur during labor?

A. Decrease in myometrial oxytocin receptors

...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.