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OBSTETRICS 2.0 > 2nd shifting random questions (Hard) > Flashcards

2nd shifting random questions (Hard) Flashcards

1
Q

bilateral depressions at the site of lacerations that remain as permanent changes in the cervix

A

Parous cervix

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2
Q

sign of well contracted uterus

A

Stony hard

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3
Q

when does uterus begins to shrink?

A

2 days after delivery

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4
Q

components of the lochia

A

erythrocytes, decidua, epithelial cells, bacteria

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5
Q

causes of sub involution

A

pelvic infections

retention of placental fragments

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6
Q

what is Merititis?

A

retention of placental fragments

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7
Q

Management of Subinvolution

A

Ergonovine
Methylergonovine
Oxytocin
Curettage

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8
Q

complete extrusion of the placental site is when?

A

after 6 weeks

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9
Q

cause of late postpartum hemorrhage

A

Placental polyp

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10
Q

when is the reapperance of ruggae?

A

after 3 weeks

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11
Q

percent of increase in the plasma red cell volume during pregnancy

A

15-20%

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12
Q

percent reduction in the FRC via upward displacement of the diaphragm

A

15% reduction

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13
Q

effect of progsterone to gastric motility and food absorption

A

decrease

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14
Q

source of contractile pain during the 1st stage labor

A

uterus
adnexia

(mediated by T10-L1)

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15
Q

cause of pain in the 2nd stage of labor

A

distention of birth canal, vulva and perineum

mediated by S2-S4

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16
Q

acupuncture is what type of non pharmacologic method of pain relief?

A

intercutaneous nerve stimulation

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17
Q

regional anesthesia adequate for spontaneous delivery and outlet forceps

A

Pudendal Block

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18
Q

complication of blockage of Frankenhauser’s Ganglion

A

Fetal Bradycardia

Paracervical block

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19
Q

hypotension is a common side effect of what anesthetic technique?

A

Subarachnoid/Spinal Anesthesia

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20
Q

what causes the supine hypotensive syndrome (with risks of MG, polyhaydramnios and DM)

A

Aortocaval syndrome/ compression

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21
Q

significance of ruptured membranes (3)

A
  1. Labor is soon to happen
  2. Chorioamnionitis
  3. Cord prolapse/compression
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22
Q

color of positive Nitrazine test and what does in signify?

A

(+) Blue, Amniotic fluid present in vagina (ruptured na)

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23
Q

duration of 1st stage of labor in a nulliparous and a multiparous px.

A

N: 7 h
M: 4 h

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24
Q

frequency of FHT monitoring @ the 1st and 2nd stage of labor during High risk pregnancy

A

1st stage: every 15 minutes

2nd stage: every 5 minutes

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25
Q

“lavativa”

A

enema

26
Q

what is the artificial rupture of bag of water? what is its complicatios?

A

Amniotomy

cord prolapse leading to hypoxemia

27
Q

duration of 2nd stage of labor in a nulliparous and a multiparous px.

A

N: 50 mins
M: 20 mins

28
Q

2 types of pudendal incision

A

Medial episiotomy

Mediolateral episiotomy

29
Q

what should be the diameter of vaginal introitus when doing the Ritgen maneuver?

A

> 5cm

30
Q

earliest sign of placental separation

A

Calkin’s sign (glubular and firm Uterus)

31
Q

predisposing factors of transverse fetal lie (4)

A

multiparous
placenta previa
hydraminos
uterine anomalies

31
Q

predisposing factors of transverse fetal lie (4)

A

multiparous
placenta previa
hydraminos
uterine anomalies

32
Q

military attitude (type of fetal presentation)

A

Sinciput (cephalic) presentation

32
Q

military attitude (type of fetal presentation)

A

Sinciput (cephalic) presentation

33
Q

U shaped fetus is what type of fetal presentation?

A

Frank Breech Presentation

33
Q

U shaped fetus is what type of fetal presentation?

A

Frank Breech Presentation

34
Q

least common fetal position/presentation?

A

Face presentation (0.3%)

34
Q

least common fetal position/presentation?

A

Face presentation (0.3%)

35
Q

where to auscultate the FHT when the presentation is occiput posterior?

A

at the back flanks of the mother

35
Q

where to auscultate the FHT when the presentation is occiput posterior?

A

at the back flanks of the mother

36
Q

causes of breech presentation

A 
hydrocephalus
placental implantation at the lower uterine segment
vertebral extension
uterine septum
abnormal fetal tone and movement
36
Q

causes of breech presentation

A 
hydrocephalus
placental implantation at the lower uterine segment
vertebral extension
uterine septum
abnormal fetal tone and movement
37
Q

the relation of fetal parts to one another

A

Fetal attitude (posture/Habitus)

37
Q

the relation of fetal parts to one another

A

Fetal attitude (posture/Habitus)

38
Q

what is the shape of Bregma?

A

Diamond

38
Q

what is the shape of Bregma?

A

Diamond

39
Q

palpation to determine the fetal lie

A

Umbilical grip (2nd leopold’s maneuver)

39
Q

palpation to determine the fetal lie

A

Umbilical grip (2nd leopold’s maneuver)

40
Q

the occipitomental plane being the longest AP diameter is presented

A

Brow presentation

40
Q

the occipitomental plane being the longest AP diameter is presented

A

Brow presentation

41
Q

what type of drugs may cause anhydramnios?

A

Antihypertensive drugs (ACE inhibitors)

42
Q

when is weight gain not expected? (weeks of gestion)

A

during 1st 12 weeks

43
Q

Quickening happens when in multiparous? primiparous?

A

M: 16-18 wks
N: 18-20 wks

44
Q

position of mother when doing the electronic fetal heart monitoring

A

Semi-fowlers position

45
Q

what features of the fetal heart rate indicates a normal and intact pathways?

A

FHR variability (Short term;Long term)

46
Q

which FHR decelaration happens at the 2nd stage of labor?

A

Early deceleration

47
Q

Sinusoidal pattern of FHR indicates what?

A

Fetal anemia and maternal use of opiods

48
Q

when to consider tocolysis (delaying of labor)

A

normal FHR + Uterine hypercontractions

49
Q

normal AFI (cm)

A

5-24 cm.

50
Q

allowable error in UTZ @ the 2nd trimester for AOG determination

A

+/- 1 week AOG

51
Q

diagnostic procedure that has a risk for talipes deformity

A

Amniocentesis

OBSTETRICS 2.0 (3 decks)

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