AIIMS Bhatinda NO - 2019
Obstetrics & Gynaecology
Easy

If the labour ends within 3 hours with 2-3 painful contractions, it is called?

Appeared in: AIIMS Bhatinda NO - 2019

Explanation

  • Precipitate labor is the correct term for labor that is completed in less than 3 hours from the onset of regular contractions to the delivery of the baby.
  • This condition is characterized by hyperactive uterine contractions that are very strong and frequent, combined with low resistance from the maternal soft tissues.
  • The question describes a labor that ends within 3 hours, which is the defining criterion for precipitate labor.

Why Other Options Were Wrong

  • Option A: Difficult labor, or dystocia, refers to an abnormally slow or obstructed labor, which is the opposite of the rapid process described in the question.
  • Option C: Prolonged labor is labor that extends beyond the accepted normal duration for each stage, such as a latent phase lasting over 20 hours in a first-time mother.
  • Option D: While a precipitate labor can be a variation of a normal physiological process, the specific term for a labor lasting less than 3 hours is 'precipitate'. 'Normal labor' (eutocia) typically lasts much longer.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and Characteristics of Precipitate Labor as background academic context rather than a clinical decision trigger.
  • Nurses must be able to recognize the signs of precipitate labor to prepare for a rapid delivery and manage potential complications.
  • Immediate nursing actions include staying with the patient, preparing for delivery, notifying the provider, and having resuscitation equipment ready for both mother and baby.
  • Post-delivery, the nurse must vigilantly monitor for maternal hemorrhage due to uterine atony or lacerations and assess the newborn for signs of trauma or hypoxia.
How to Approach the Question
  • First, identify the key information in the question stem: labor duration is 'within 3 hours'.
  • Recognize that this is a definition-based question asking for the specific medical term for this type of labor.
  • Evaluate each option based on its definition.
  • 'Difficult labor' and 'prolonged labor' describe labors that are too slow, which is the opposite of the scenario.
  • 'Normal labor' is a general term, but a more specific term exists for this rapid duration.
  • Recall or deduce that 'precipitate labor' specifically refers to a labor and delivery completed in under 3 hours. This directly matches the question's description.
Concept Tested & Keywords
  • Concept Tested: Definition and Characteristics of Precipitate Labor
  • Stem keywords: labour, 3 hours, painful contractions
  • Lead-in keywords: it is called

Question ID

Q7sscCc0_b3DW-L1jNgVYU

Reference Book

E6 Obstetrics Williams pp. 33-53, 22-41

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 53-64

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