![]() ![]() Answer: (D) Hemorrhage secondary to uterine atony.Thus, it is essential do check the FHB right after rupture of bag to ensure that the cord is not being compressed by the fetal head. Fetal distress can be detected through the fetal heart tone. If the cord goes out of the cervical opening, before the head is delivered (cephalic presentation), the head can compress on the cord causing fetal distress. After the rupture of the bag of waters, the cord may also go with the water because of the pressure of the rupture and flow. Answer: (B) Determine if cord compression followed the rupture.Light tugging on the cord when placenta has detached is alright in order to help deliver the placenta that is already detached. When the placenta is still attached to the uterine wall, tugging on the cord while the uterus is relaxed can lead to inversion of the uterus. Answer: (B) Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation.Since the time lapsed is already 2 hours, the dilatation is expected to be already 8 cm. ![]() ![]() The active phase of Stage I starts from 4cm cervical dilatation and is expected that the uterus will dilate by 1cm every hour.
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