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Physiology · General physiology: positive feedback in labour
Sample itemDuring labour the fetal head stretches the cervix, which increases oxytocin release, which strengthens uterine contractions and pushes the head harder against the cervix. This cycle ends only with delivery. How is this control loop best classified?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Positive feedback, which amplifies the stimulus until an external event terminates it
In positive feedback the response intensifies the original stimulus, so the system moves away from its starting state until something outside the loop (here, expulsion of the fetus) ends it. The cervical stretch to oxytocin pathway is the Ferguson reflex. Other examples include the LH surge and the rising phase of the action potential.
Option by option
A. Open-loop control with no sensory input to the effector
The loop has a sensory afferent (cervical stretch receptors), so it is a closed loop.
B. Positive feedback, which amplifies the stimulus until an external event terminates it (correct)
Correct. Each contraction increases cervical stretch and further oxytocin release until delivery stops the stimulus.
C. Feedforward control, which anticipates a disturbance before it occurs
Feedforward control acts in anticipation of a change, whereas here the response follows and amplifies the stimulus.
D. Negative feedback, which restores a fixed set point
Negative feedback would damp the contractions as the cervix stretched, which does not happen.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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