2P - Shoulder Dystocia

Question 1

– difficult labor due to abnormalities
pertaining to the fetus usually occurs in the second stage of
labor characterized by prolonged duration or arrested
descent.

Answer 1

fetal dystocia

Question 2

Most common cause of fetal dystocia?

Answer 2

Malpresentation and malposition

Question 3

Any presentation other than occiput?

Answer 3

Malpresentation

Question 4

What is the cardinal sign in possible problems with the delivery of the fetal head?

Answer 4

Delay in descent

Question 5

What occupies the AP diameter of the pelvis?

Answer 5

Bitrochanteric diameter of the fetus

Question 6

Best indicator of adequate fetopelvic proportions

Answer 6

Good progress of labor

Question 7

What maneuver is used to deliver the nuchal arms in breech delivery?

Answer 7

Loveset maneuver

Question 8

Common complication in transverse lie?

Answer 8

Umbilical cord prolapse

Question 9

Weight of conduplicato corpore fetus?

Answer 9

<800g

Question 10

Presentation if the presenting diameter is the occipitomental?

Answer 10

Brow

Occiput higher than sinciput

Question 11

Management of brow presentation?

Answer 11

CS delivery

Question 12

Conversion of brow presentation is done if possible?

Answer 12

False

Question 13

presentation if the presenting diameter is trachelo bregmatic diamter?

Answer 13

Face

Question 14

Cardinal movements in delivering a mentum anterior fetus?

Answer 14

engagement,

descent, flexion, and external rotation

Question 15

Cardinal movements in delivering a mentum posterior fetus?

Answer 15

engagement,
internal rotation to mentum anterior,
descent, flexion and external rotation

Question 16

What face presentation will trial of labor still be recommended?

Answer 16

Mentum anterior

Question 17

Presentation if there is presence of an extremity alongside the presenting part?

Answer 17

Compound presentation

Question 18

Prolapsed extremity can retract in delivery of compound presentation? T or F

Answer 18

True

Question 19

What prevents fetal head flexion in persistent occiput posterior?

Answer 19

Symphysis pubis

Question 20

Indications of CS in occiput posterior?

Answer 20

Station -2 but fully dilated cervix

non reassuring and signs of obstruction

Question 21

Naegele’s Obliquity is also knows as?

Answer 21

Anterior asynclitism

Question 22

Litzmann’s obliquity is also known as?

Answer 22

Posterior asynclitism

Question 23

Management for asynclitism?

Answer 23

Keilland forceps

Question 24

All fours maneuver for delivery of fetus with shoulder dysotcia?

Answer 24

Gaskin’s Maneuver