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Exam questionKROK 2Medicine ยท 2025

A 35-year-old woman, gravida 1, is at 39 weeks of her full-term pregnancy. The duration of the second stage of labor is 1.5 hours. Objectively, the dimensions of the pelvis are 26-29-32-20, the expected weight of the fetus - 4400 g, contractions are active, the fetus is in a cephalic presentation with the head pressed to the entrance to the lesser pelvis, Henkel-Vasten sign is positive. The fetal heart rate is 118-126/min, sonorous, rhythmic. Vaginal examination detects complete opening of the cervix, the head is one finger-width in the lesser pelvis, severe caput succedaneum and edema of the vulva are observed. What complication has occurred during the childbirth?

Answer options

  1. Clinically narrow pelvis
  2. Uterine rupture
  3. Placental abruption
  4. Weak labor activity
  5. Discoordinated labor activity
Correct answer

Clinically narrow pelvis

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