A 24-year-old Gravida II Para I woman came to labor ward with complaints of back pain and gash of fluid for four hours. On physical examination, the nurse identified cervical dilation four cm for 14 hours duration, station three uterine contraction three/10min lasting for 18 second and ruptured membrane. What is the most likely sign that indicates prolonged labor for this client? a. Station b. Status of membrane c. Cervical dilation d. Uterine contraction

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A 24-year-old Gravida II Para I woman came to labor ward with complaints of back pain and gash of fluid for four hours. On physical examination, the nurse identified cervical dilation four cm for 14 hours duration, station three uterine contraction three/10min lasting for 18 second and ruptured membrane. What is the most likely sign that indicates prolonged labor for this client? a. Station b. Status of membrane c. Cervical dilation d. Uterine contraction

Answer 1

The most likely sign that indicates prolonged labor for this client is:c. Cervical dilationProlonged labor is typically defined as labor for more than 20 hours in first-time mothers (Gravida I) and more than 14 hours in subsequent pregnancies (Gravida II or more). In this case, the woman has been in labor for 14 hours with only 4 cm cervical dilation, which is significantly less than the expected 10 cm dilation required for delivery. This prolonged cervical dilation is a key indicator of prolonged labor.

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