Conduct Of Normal Labor And Delivery

Question 1

It is the relation of the long axis of the fetus

Answer 1

Fetal lie

Question 2

Present 99% of fetal lie

Answer 2

Longitudinal

Question 3

What are predisposing factors of transverse lie

Answer 3

Multiparity
Placenta previa
Hydramnios
Uterine anomalies

Question 4

Cephalic presentation

Answer 4

Vertex
Face
Brow
Sinciput

Question 5

Breech

Answer 5

Frank
Complete
Incomplete or footling

Question 6

When the thighs are flexed and the legs extended over the anterior surfaces of the body

Answer 6

Frank breech

Question 7

If the thighs are flexed on the abdomen and the legs upon the thighs

Answer 7

Complete breech

Question 8

Known as the habitus or posture

Answer 8

Fetal attitude

Question 9

How do you perform L1 to L3

Answer 9

Examiner stands at the side of the bed and faces the px

Question 10

First manuever is called

Answer 10

Fundal grip

Question 11

Sensation of a large nodular body

Hard and round and is more freely movable and balottable

Answer 11

Breech

Cephalic

Question 12

Second maneuver

Answer 12

Lumbar grip

Question 13

Hard and resistant

Answer 13

Back

Question 14

During the 3rd maneuver when is the presenting part not engaged

Answer 14

Movable body above the symphysis pubis

Question 15

Pelvic grip

Prominence is on the same side as the back

Answer 15

Face presentation

Question 16

What are the cardinal movements of labor

Answer 16

Engagement 
Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion

Question 17

Mechanism by which the biparietal diameter passes through the pelvic inlet

Answer 17

Engagement

Question 18

First requiste for birth of the new born

Answer 18

Descent

Question 19

When does descent begin in multiparous women

Answer 19

Engagement

Question 20

What are the forces that act on fetal descent

Answer 20

Pressure of amniotic fluid
Direct pressure of the fundus upon the breech with contractions
Bearing down with abdominal muscles
Extension and straigthening of the fetal body

Question 21

Forces that act on the extension

Answer 21

Uterus posterior

Resistant pelvic floor and symphysis anteriorly

Question 22

Sagittal suture approaches the sacral promontory

Answer 22

Anterior asynclitisn

Question 23

Sagittal suture lies close to the symphysis

Answer 23

Posterior asynclitisn

Question 24

Due to prolonged labor

Answer 24

Capit sccedaneum

Question 25

Duration of the first stage of labor

Answer 25

Null
Latent less than 20hrs
Active phase 1.2cm/hr

Multipara
<14hrs latent
1.5cm active

Question 26

Second stage of labor

Answer 26

50 mins null

20 mins multi

Question 27

When does the latent phase end

Answer 27

3 to 5cm

Dilation

Question 28

Factors that can contribute to both protraction and arrest

Answer 28

Excessive sedation
Epidural analgesia
Fetal malposition

Question 29

Simple and reliable test for ruptured membrane

Answer 29

Nitrazine

Question 30

When is amniontic fluid suggested rather than cervical fluis

Answer 30

Ferning

Question 31

Station 0 located at

Answer 31

Ischial spine

Question 32

Forward pressure on the chin of the fetus through the perineum

Answer 32

Ritgen manuever

Question 33

Signs of placental separation

Answer 33

Calkin sign
Sudden gush of blood
Uterus rises in the abdomen
Lenghthjng of the umbilical cord

Question 34

Uterus becomes globular and firmer

Answer 34

Calkin sign

Question 35

Indications of manual removal of placenta

Answer 35

Brisk bleeding

Palacental cannot be delivered

Question 36

Active management of the third stage

Answer 36

Uterine massage
Oxytoxin
Ergonovine
Methylergonovine