North American Registry of Midwives (NARM) Practice Exam

What condition is indicated by a prolonged progression in labor phases?

1. Normal labor dynamics

2. Uterine dysfunction

3. Effective labor pattern

4. Fetal wellbeing

The correct answer is: Uterine dysfunction

A prolonged progression in labor phases typically indicates uterine dysfunction. This condition can manifest as abnormal contractions or inadequate uterine activity, which may hinder the natural progress of labor. When the uterus does not contract with sufficient strength or frequency, it can lead to a stall or a slow progression through the various stages of labor, which is not aligned with what is considered normal labor dynamics. In normal labor dynamics, the phases of labor generally progress in a timely manner, allowing for effective cervical dilation and fetal descent. An effective labor pattern would also suggest a regular and efficient contraction pattern, which promotes timely progression. Additionally, fetal well-being is typically assessed via monitoring, and prolonged labor without progress may raise concern for fetal distress or complications, rather than indicate well-being. Thus, recognizing uterine dysfunction is crucial for midwives to implement appropriate interventions to support the laboring individual and ensure favorable outcomes for both the parent and the baby.