MP CHO-2020
Obstetrics and Midwifery Nursing
Easy
By which graph is the progress of labor, cervical dilatation, and fetal head descent represented?
Appeared in: MP CHO-2020
Explanation
- A partogram is a composite graphical record of key data during labor, plotted against time on a single sheet of paper.
- It is specifically designed to track the progress of labor by plotting cervical dilatation and the descent of the fetal head.
- The chart includes alert and action lines, which are predefined thresholds to help healthcare providers identify abnormally slow labor progression.
- By visualizing all key data at a glance, the partogram facilitates early detection of complications, reducing maternal and perinatal morbidity and mortality.
Why Other Options Were Wrong
- Option B: Parturition is the medical term for the entire process of giving birth. It is a physiological event, not a graphical chart or monitoring tool.
- Option C: The 'Road to health chart' is a growth monitoring tool used for infants and children to track their physical growth (like weight and height) and immunization schedule after they are born.
- Option D: Cardiotocography (CTG) is a specific electronic tracing of the fetal heart rate and uterine contractions. While it is a crucial part of labor monitoring, it does not provide a comprehensive graphical overview of the entire labor progress, specifically cervical dilatation and head descent.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Monitoring the progress of labor using graphical tools as background academic context rather than a clinical decision trigger.
- The use of a partogram is a cornerstone of active management of labor and is recommended by the WHO to improve outcomes in childbirth.
- It serves as a vital communication tool between healthcare providers, ensuring continuity of care during shift changes or patient transfers.
- Properly maintaining a partogram helps in making timely decisions, reducing the incidence of prolonged labor, obstructed labor, and the need for emergency cesarean sections.
How to Approach the Question
- First, identify the key elements in the question: 'graph', 'progress of labor', 'cervical dilatation', and 'fetal head descent'.
- The question is asking for a specific, comprehensive charting tool used in obstetrics.
- Evaluate each option based on these keywords.
- Eliminate 'Parturition' as it is a process, not a tool.
- Eliminate 'Road to health chart' as it is used for pediatric growth monitoring, not labor.
- Differentiate between 'Partogram' and 'Cardiotocography'. Recognize that a CTG is a specific tracing of FHR and contractions, while a partogram is a broader, all-encompassing graph of labor progress.
Concept Tested & Keywords
- Concept Tested: Monitoring the progress of labor using graphical tools.
- Stem keywords: graph, progress of labor, cervical dilatation, fetal head descent
- Lead-in keywords: By which
Question ID
QBAUvdC6NDGKP1V1bzrXfy
Reference Book
E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 53-65
E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 220-222
Practise the full MP CHO-2020
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Normal Labor Questions
- How long do contractions last during second stage of labor at an interval of 3-5 minutes of rest?
- The third stage of labour comprises:-
- According to the World Health Organization (WHO), which of the following is recommended in the management of the second stage of labor?
- The process by which muscular fibres of the cervix are pulled upwards and merged with the fibres of the lower uterine segment is known as
- What reflex is an expulsive uterine contraction experienced by the mother during labor?
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- What is the best nursing action in the latent phase of the first stage of labor?
- The second stage of labor starts?
- The first stage of labour is characterized by?
- The settling of fetal head into the brim of the pelvis is called?
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