A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced, and the pre-senting part was at station 0
Five minutes ago, her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this description? 1. Prolonged latent phase
2. Protracted active phase
3. Arrest of active phase
4. Protracted descent
3
1. Incorrect. In the nulliparous woman, a prolonged latent phase typically is more than 20 hours.
2. Incorrect. In a protracted active phase, the first or second stage of labor would be pro-longed (slow dilation).
3. Correct. With an arrest of active phase, progress of labor has stopped. This patient has not made any anticipated cervical change indicating an arrest of labor.
4. Incorrect. With protracted descent, the fetus fails to descend at an anticipated rate during the deceleration phase and second stage of labor.
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