Answer: (C) The active phase of Stage 1 is protracted.Also, it should be given when delivery of fetus is imminent or too close because the fetus may suffer respiratory depression as an effect of the drug that can pass through placental barrier. Narcotic analgesics must be given when uterine contractions are already well established so that it will not cause stoppage of the contraction thus protracting labor. Answer: (D) Uterine contractions are strong and the baby will not be delivered yet within the next 3 hours.Pushing requires more effort which a compromised heart may not be able to endure. Forceps delivery under epidural anesthesia will make the delivery process less painful and require less effort to push for the mother. Answer: (C) To make the delivery effort free and the mother does not need to push with contractions.Induced Abortion is illegal in the country as stated in our Penal Code and any person who performs the act for a fee commits a grave offense punishable by 10-12 years of imprisonment. Answer: (B) Abortion is both immoral and illegal in our country.The Philippine Constitution of 1987 guarantees the right of the unborn child from conception equal to the mother as stated in Article II State Policies, Section 12. With the present technological and medical advances, 21 weeks AOG is considered as the minimum fetal age for viability. Viability means the capability of the fetus to live/survive outside of the uterine environment. Thus if the blood supply is less, the baby will suffer from chronic hypoxia leading to a small-for-gestational age condition. In general, when the heart is compromised such as in maternal cardiac condition, the condition can lead to less blood supply to the uterus consequently to the placenta which provides the fetus with the essential nutrients and oxygen.
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