Normal labour progress — DRCOG MCQ

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EasyLabourNormal labour progressDRCOG

A 34-year-old woman has cervical dilatation increasing from 4 cm to 7 cm over 4 hours with reassuring observations. What is the most likely diagnosis?

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Correct answer: C — Normal progress in active labour

Normal progress in active labour is the best answer because the vignette is testing Normal labour progress and the recommended approach is consistent with NICE NG235. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Bacterial vaginosis; Genital herpes; Ectopic pregnancy; Physiological neonatal jaundice would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG235