On a partograph, cervical dilatation moves to the right of the action line. What should the nurse do first?

Correct answer: A. Assess the woman and inform the responsible clinician

  • A. Assess the woman and inform the responsible clinician
  • B. Apply fundal pressure to speed fetal descent
  • C. Begin pushing before complete dilatation
  • D. Record the finding and wait until delivery

Explanation

Crossing the action line suggests slow progress and requires assessment for causes such as poor contractions, malposition or obstruction. Fundal pressure and premature pushing are unsafe interventions.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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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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