B8-017 Labor and Delivery

Question 1

[what stage of labor]
begins with the onset of labor
ends when cervix is fully dilated

Answer 1

1st- cervical stage

Question 2

which stage of labor gets shorter with each subsequent pregnancy?

Answer 2

1st (cervical stage)

Question 3

[…] phase of labor is slow dilation over a longer period of time

Answer 3

latent

Question 4

[…] phase of labor is rapid dilation over a short period of time

Answer 4

active

Question 5

[what stage of labor]
begins at cervical dilation
ends with delivery of baby

Answer 5

2nd-expulsion stage

Question 6

[what stage of labor]
begins with delivery of the baby
ends with delivery of the placenta

Answer 6

3rd- placental stage

Question 7

signs of placental separation [3]

(indicates it is safe to apply traction to cord)

Answer 7

increase in vaginal bleeding
lengthening of umbilical cord
uterus changes shape

Question 8

risks of attempting to deliver the placenta too early, before separation [2]

Answer 8

avulsion of cord
inversion of uterus

Question 9

the fetus is considered engaged in the pelvis when the head reaches the […] on vaginal exam

Answer 9

ischial spines

Question 10

no cervical dilation for more than two hours may indicate

Answer 10

arrest of labor

Question 11

cervical dilation rate less than 1 cm/hour may indicate […] of labor

Answer 11

protraction

Question 12

no descent after one hour of pushing is […] of labor

Answer 12

arrest

Question 13

3 Ps for dystocia

Answer 13

passage
passenger
power (increased with oxytocin)

Question 14

persistent occiput posterior is associated with […] pelvis

Answer 14

anthropoid

Question 15

deep transverse arrest of fetal head is associated with […] pelvis

Answer 15

platypelloid

Question 16

arrest of descent is associated with […] pelvis

Answer 16

android

Question 17

membranes are intact and the cord is felt in the bag of membrane at the internal cervical os

Answer 17

funic presentation of cord prolapse

Question 18

umbilical cord is lying beside the presenting fetal part

Answer 18

occult presentation of cord prolapse

Question 19

cord is protruding through the cervix into and sometimes from the vagina

Answer 19

overt prolapse

Question 20

management manuevers for shoulder dystocia

Answer 20

McRoberts
suprapubic pressure
deliver fetal posterior arm
corkscrew
fracture fetal clavicle

Question 21

waiter’s tip hand

Answer 21

Erb’s palsy

Question 22

claw hand

Answer 22

klumpke’s palsy

Question 23

if there has been a decrease in uterine contractions, is it safe to apply traction to the umbilical cord?

Answer 23

no

Question 24

engagement means the presenting part of the fetus has reached the […] on vaginal exam

Answer 24

ischial spines

Question 25

no change in dilation for over two hours indicates

Answer 25

arrest of labor

Question 26

arrest of descent occurs in the second stage of labor, after

Answer 26

full dilation

Question 27

cervical change at a slower than predicted rate

Answer 27

protraction of labor

Question 28

pelvis shape least likely to obstruct labor

Answer 28

gynecoid

Question 29

pelvic shape associated with persistent occiput posterior position

Answer 29

anthropoid

Question 30

persistent transverse arrest is seen in patients with a […] pelvis

Answer 30

platypelloid

Question 31

arrest of descent with occiput anterior is more likely to occur in patients with […] pelvis

Answer 31

android

Question 32

occurs in situations where the fetal presenting part does a poor job sealing the cervix

Answer 32

cord prolapse

Question 33

initial steps to managing a shoulder dystocia

Answer 33

mcroberts maneuver and suprapubic pressure