Inpatient Obstetric Nurse Practice Exam 2025 – Complete Prep Guide

Question: 1 / 400

What is the main risk associated with a prolonged labor?

Increased risk of maternal and fetal infection

Prolonged labor poses numerous risks, with an increased risk of maternal and fetal infection being one of the primary concerns. When labor extends beyond a typical duration, the likelihood of infection rises because prolonged rupture of membranes can allow microorganisms to enter the uterine environment. Additionally, extended exposure to invasive procedures, such as internal fetal monitoring or repeated examinations, can further facilitate the introduction of pathogens. This not only places the mother at risk for conditions like chorioamnionitis but can also compromise the newborn's health, leading to potential complications like sepsis.

While issues like dehydration, lower blood pressure, and higher pain levels may arise during prolonged labor, they are not as critical or directly linked to long-term complications as the risk of infection. Dehydration can be prevented with appropriate fluid management, and while blood pressure can fluctuate due to pain or stress, it is not a predominant risk associated specifically with prolonged labor. Furthermore, while pain levels can increase, they typically relate to the individual labor experience rather than a direct risk to maternal or fetal health. Thus, the most significant and concerning risk remains the potential for infection due to the duration of labor.

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Dehydration

Lower blood pressure

Higher pain levels

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