A woman has been in labor for 16 hours. Her cervi × is dilated to 3 c m and is 80% effaced. The fetal presenting part is not engaged. The nurse would suspect which of the following?

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Cephalopelvic disproportion (CPD) is suspected when labor does not progress as expected, which can be due to the baby's head being too large for the mother's pelvis. The prolonged labor, lack of engagement of the fetal presenting part, and the dilation and effacement of the cervix without progression are indicative of CPD.

A Woman Has Been in Labor for 16 Hours