A woman is fully dilated and the fetal head is descending with each contraction. Which instruction is most appropriate?
Correct answer: A. Push with the contraction and breathe normally between contractions
- A. Push with the contraction and breathe normally between contractions
- B. Hold the breath continuously until the baby is born
- C. Push strongly between contractions to maintain descent
- D. Remain completely still and avoid bearing down during contractions
Explanation
With full cervical dilatation and descent, the woman can push with contractions and rest between them. Continuous breath holding may increase fatigue and reduce effective oxygenation, while pushing between contractions is ineffective.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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