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146936 Gynaecology & Obstetrics

A 26-year-old G2P1 woman at 41 weeks gestation has been pushing for 3 hours without progress. Throughout this time, her vaginal examination has remained completely dilated, completely effaced, and 0 station, with the head persistently in the occiput posterior position. Which of the following statements accurately describes the situation

AThe patient is best described as having an arrest of descent. (Correct Answer)
BThe bony pa of the fetal head is likely to be at the plane of the pelvic inlet.
CThe occiput posterior position is frequently associated with a gynecoid pelvis.
DThe labor progress is normal if the patient does not have an epidural catheter for analgesia, but is abnormal if epidural analgesia is being used.