19.14.1: Review Questions
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Review Questions
1 .
What type of dystocia occurs when the fetal head is unable to navigate through the pelvis?
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uterine dystocia
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fetal dystocia
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pelvic dystocia
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contraction dystocia
2 .
What type of dystocia should the nurse prepare for if she palpates prominent ischial spines during the vaginal exam?
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pelvic dystocia
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fetal dystocia
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contraction dystocia
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uterine dystocia
3 .
What pregnant person is at high risk for labor dystocia?
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38-week gestation
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41-year-old
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prenatal anemia
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no prenatal care
4 .
The nurse is caring for a pregnant person who was in a motor vehicle accident when she was younger and broke a bone in her pelvis. For what complication should the nurse be prepared?
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fetal dystocia
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pelvic dystocia
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uterine dystocia
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age dystocia
5 .
What Bishop score describes the most favorable cervix?
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2
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4
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6
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8
6 .
What is a possible complication of uterine tachysystole?
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Category I fetal heart rate tracing
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placenta previa
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fetal hypoxia
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prolapsed cord
7 .
What can amniotomy cause?
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six-hour decrease of labor
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chorioamnionitis
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elevated blood pressure
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second stage labor dystocia
8 .
What medication is used for cervical ripening?
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amniotomy
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Hemabate
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misoprostol
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progesterone
9 .
How often is oxytocin usually increased for induction or augmentation of labor?
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every 10 minutes
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every 30 minutes
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every 60 minutes
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every 90 minutes
10 .
What is a potential complication for the neonate due to precipitous labor?
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respiratory distress
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low birth weight
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prelabor rupture of membranes
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placenta previa
11 .
What nursing intervention is performed during labor for a person with preeclampsia?
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Assess deep tendon reflexes for hyperreflexia.
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Provide frequent IV fluid boluses.
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Educate the laboring person that preeclampsia is only a concern for pregnancy, not labor.
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Discourage pain medication in order to assess for headache.
12 .
What is a condition in which there is an excessive amount of amniotic fluid surrounding the fetus?
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amniotic fluid embolism
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gestational diabetes
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oligohydramnios
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polyhydramnios
13 .
What is a possible complication of oligohydramnios?
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fetal macrosomia
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preterm labor
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placenta previa
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fetal growth restriction
14 .
What medication should the nurse anticipate administering when caring for a person with preeclampsia in labor?
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ampicillin
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magnesium sulfate
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nalbuphine hydrocholoride (Nubain)
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sodium bicarbonate
15 .
What is a potential sign of intrauterine fetal demise?
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increased fetal heart rate
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vaginal bleeding
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decreased or absent fetal movement
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macrosomia
16 .
What is a potential complication when the fetus is footling breech?
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prolapsed cord
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oligohydramnios
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low biophysical profile score
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meconium-stained fluid
17 .
Gestational diabetes increases what complication of labor?
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breech
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macrosomia
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postterm birth
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precipitous birth
18 .
Multiple gestation can lead to what labor complication?
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tachysystole
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postterm birth
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uterine dystocia
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early declarations
19 .
With what is malnutrition during pregnancy associated?
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fetal growth restriction
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fetal macrosomia
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group B strep
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precipitous birth
20 .
What newborn complication does type 1 diabetes mellitus cause?
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hyperglycemia
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umbilical hernia
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hypoglycemia
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cyanosis
21 .
With what has maternal hypertension been associated?
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anorexia
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low birth weight
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macrosomia
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symphysis pubis dysfunction
22 .
What is one potential fetal complication of using obstetric forceps?
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flexion of the head
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abdominal complications
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skull fracture
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femur fracture
23 .
What is one potential fetal complication of using the vacuum extractor?
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cephalohematoma
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face presentation
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fetal growth restriction
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scalp fracture
24 .
What is a common reason for cesarean birth?
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cephalic presentation
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laboring person’s BMI of 23
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labor dystocia
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lack of adequate pain control
25 .
What condition is related to an increased risk for fetal demise?
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diabetes
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migraine headache
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spina bifida
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thyroid disorder
26 .
Why is multiple gestation is a risk factor for cesarean delivery?
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cord prolapse
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increased pain in labor
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inability to push
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twins in cephalic-cephalic presentation
27 .
What is the condition where the umbilical cord vessels cross the cervix?
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placenta previa
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placenta cervix
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velamentous insertion
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vasa previa
28 .
What is the condition in which the umbilical cord vessels branch prior to insertion into the placenta?
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placenta previa
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placenta cervix
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velamentous insertion
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vasa previa
29 .
What is a sign of fetal distress?
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prolonged moderate variability
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accelerations
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repetitive late decelerations
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variable decelerations
30 .
Shoulder dystocia is difficult to predict. What are thought to be predictors for shoulder dystocia? Select all that apply.
- estimated birth weight of 4,000 g
- gestational diabetes
- previous shoulder dystocia
- oligohydramnios
- hypertension
- preterm delivery
31 .
How soon should delivery of the fetus occur when a Category III FHR tracing is diagnosed?
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15 minutes
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30 minutes
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45 minutes
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60 minutes
32 .
What is a complication of uterine rupture?
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DIC
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nuchal cord
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polyhydramnios
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oligohydramnios
33 .
What is the nursing intervention for prolapsed cord?
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Turn the person to the side.
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Give the person oxygen.
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Lift the presenting part off the cord.
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Increase the oxytocin.
34 .
At what point is the second stage considered prolonged for a nulliparous laboring person?
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1 hour
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2 hours
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3 hours
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4 hours
35 .
What is a potential risk associated with prolonged second stage labor?
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decreased risk of instrumental delivery
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decreased risk of cesarean birth
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increased risk of fetal distress
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increased risk of rapid delivery
36 .
What intervention may be used to manage failure to descend during labor?
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administering pain medication
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allowing the patient to rest
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continuing to push for an extended period of time
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using forceps or a vacuum to assist delivery
37 .
The placenta is diagnosed as retained when it is not delivered in what timeframe after the birth of the infant?
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10 minutes
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30 minutes
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1 hour
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2 hours
38 .
In a spontaneous abortion, if bleeding from the retained products of conception cannot be stopped, what is the next course of action?
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surgery for a dilation and curettage
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surgery for a hysterectomy
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administration of magnesium sulfate
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administration of calcium gluconate
39 .
What is the most common cause of placenta accreta?
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malnutrition
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smoking
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previous cesarean birth
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obesity
40 .
How much blood loss must occur to define the loss as a postpartum hemorrhage?
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250 mL
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500 mL
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750 mL
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1,000 mL
41 .
What medication is administered to treat uterine atony?
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ampicillin
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nitroglycerine
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magnesium sulfate
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methylergonovine
42 .
What complication makes uterine inversion an emergency?
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shock
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pain
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retained placenta
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hypertension
43 .
Decreased capillary refill, delay in milk production, and diminished peripheral pulses are signs of what complication?
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alteration in perfusion
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alteration in liver function
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alteration in kidney function
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alteration in uterine function
44 .
The nurse is caring for a postpartum person after a hemorrhage. How does the nurse monitor for decreased perfusion?
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Monitor lochia.
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Measure blood loss.
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Check temperature.
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Monitor 24-hour urine output.
45 .
What condition do restlessness, cyanosis, nasal flaring, orthopnea, and use of accessory muscles indicate?
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liver failure
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alteration in oxygenation
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preeclampsia
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gestational diabetes
46 .
The nurse will monitor for aspiration, thought processes, and improved mobility after which complication?
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neurologic dysfunction
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kidney failure
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gestational diabetes
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postpartum hemorrhage
47 .
What complications can cocaine and methamphetamine use in pregnancy cause?
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seizures
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hypotonic contractions
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prolonged second stage labor
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prolonged first stage labor