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Nursing
QUESTION #9143
Question 1
A woman is in active labor. Partograph shows: the descent curve of fetal head has crossed the ALERT line. Contractions are 3 in 10 minutes, each lasting 35 seconds. What is the nurse's PRIORITY action?
Correct Answer Explanation
The Partograph is a WHO tool for monitoring labor progress:
Cervicograph lines:
- Alert line: Progress expected at \(1\,\text{cm/hr}\) from active phase (4 cm). Crossing it = slow progress, increase vigilance.
- Action line: 4 hours to the right of alert line. Crossing it = immediate obstetric action required.
Contractions: 3 in 10 minutes × 35 seconds = mild to moderate — not hyperstimulation (normal: 3–5 in 10 min, 40–60 sec)
When the alert line is crossed (not action line):
- The situation requires reassessment and increased monitoring
- In peripheral/basic EmOC settings: prepare for referral/transfer to a higher facility
- In hospital: alert senior midwife/doctor, assess for cause of slow progress
- Do NOT augment with oxytocin without medical assessment first
- Crossing action line = immediate medical intervention needed
This question tests the distinction between alert line (warn and prepare) vs action line (act immediately).
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