abnormal labor

Question 1

most common cause of protracted disorder in nulliparous

Answer 1

inadequate uterine activity

Question 2

most common cause of protracted disorder in multiparous

Answer 2

cephalopelvic disproportion

Question 3

tx of protracted disorder in multiparous

Answer 3

c section

Question 4

tx of protracted disorder in nulliparous (2)

Answer 4

1. amniotomy OR

2. oxytocin

Question 5

how to augment labor?

Answer 5

IV oxytocin

Question 6

when is intervention recommended during 3rd stage of labor?

Answer 6

after 30 min

Question 7

perineal lacertation that extends into anal sphincter

Answer 7

3rd degree

Question 8

perineal lacertation that extends into rectum

Answer 8

4th degree

Question 9

operative vaginal delivery includes use of?

Answer 9

1. forceps

2. vacuum extraction

Question 10

criteria for operative vaginal delivery (3)

Answer 10

1. cervix fully dilated
2. ruptured membranes
3. no placenta previa

Question 11

if scalp visible at intriotus w/o separating labia- which forceps?

Answer 11

outlet forceps

Question 12

if leading point of fetal skill at >2, not on pelvic floor - which forceps?

Answer 12

low forceps

Question 13

if @ +2cm but head engaged - which forceps?

Answer 13

midforceps