Author Question: A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal ... (Read 85 times)

mmm · **on:** Jun 27, 2018

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

Question 2

Juanita has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that Juanita has not had any immunizations.

Which of the following immunizations should Juanita receive at this point of her pregnancy? (Choose all that apply.) 1. Tetanus
2. Diphtheria
3. Chickenpox
4. Rubella
5. Hepatitis B

pocatato · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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.

Answer to Question 2

1, 2, 5
1, 2, 5. Correct. Immunization with live or attenuated live viruses is contraindicated during pregnancy because of its potential teratogenicity. Vaccines consisting of killed viruses may be used. Those that may be administered during pregnancy include tetanus, diphtheria, recombinant hepatitis B, and rabies vaccines.
3, 4. Incorrect. Immunization with live or attenuated viruses is contraindicated during pregnancy because of its potential teratogenicity. Live-virus vaccines include those for measles (rubeola and rubella), chickenpox, and mumps.