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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.

Answer: (C) The active phase of Stage 1 is protracted.

Also, it should be given when delivery of fetus is imminent or too close because the fetus may suffer respiratory depression as an effect of the drug that can pass through placental barrier. Narcotic analgesics must be given when uterine contractions are already well established so that it will not cause stoppage of the contraction thus protracting labor.

Answer: (D) Uterine contractions are strong and the baby will not be delivered yet within the next 3 hours.

Pushing requires more effort which a compromised heart may not be able to endure. Forceps delivery under epidural anesthesia will make the delivery process less painful and require less effort to push for the mother.

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Answer: (C) To make the delivery effort free and the mother does not need to push with contractions.

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Induced Abortion is illegal in the country as stated in our Penal Code and any person who performs the act for a fee commits a grave offense punishable by 10-12 years of imprisonment.

Answer: (B) Abortion is both immoral and illegal in our country.The Philippine Constitution of 1987 guarantees the right of the unborn child from conception equal to the mother as stated in Article II State Policies, Section 12. With the present technological and medical advances, 21 weeks AOG is considered as the minimum fetal age for viability. Viability means the capability of the fetus to live/survive outside of the uterine environment.

Thus if the blood supply is less, the baby will suffer from chronic hypoxia leading to a small-for-gestational age condition. In general, when the heart is compromised such as in maternal cardiac condition, the condition can lead to less blood supply to the uterus consequently to the placenta which provides the fetus with the essential nutrients and oxygen. Answer: (B) Maternal cardiac condition.Under breast to mid-thigh including the pubic area.When shaving a woman in preparation for cesarean section, the area to be shaved should be from _ to _