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 presenting 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 descrip-tion? a. Prolonged latent phase
b. Protracted active phase
c. Secondary arrest
d. Protracted descent
C
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A In the nulliparous woman, a prolonged latent phase typically would last over 20 hours.
B A protracted active phase, the first or second stage of labor, would be prolonged (slow dilation).
C There is no change in dilation with secondary arrest.
D With protracted descent, the fetus would fail to descend at an anticipated rate during the deceleration phase and second stage of labor.
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