Q:

A patient with previous history of HTN (hypertension), the membranes have ruptured and the cervix is 3cm dilated. 4 hours later on examination showed that the cervix was still 3cm dilated. What is the single most appropriate management for her labor?

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A patient with previous history of HTN (hypertension), the membranes have ruptured and the cervix is 3cm dilated. 4 hours later on examination showed that the cervix was still 3cm dilated. What is the single most appropriate management for her labor?


  1. Repeat vaginal examination in 4h
  2. CTG
  3. C-section
  4. External rotation
  5. IV syntocin drip

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The key is E. IV syntocinon drip. [There is no progress of labour in 4 hours. Hence syntocinon drip

should be given].

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