Dystocia

Question 0

Prolongation

Latent phase

Answer 0

N>20h M>14h

Rest and support

Question 1

First stage

Answer 1

Prolongation
Protraction
Arrest

Question 2

Protraction
Dilatation
Descent

Answer 2

N<2cm/h

Expectant management and support

Question 3

Arrest
Dilatation
Descent
Failure of descent

Answer 3

> 2h
1h
1h

Oxytocin
Forceps or vacuum

Question 4

Second stage

Prolonged

Answer 4

N>2h M>1h

Oxytocin
Forceps or vacuum

Question 5

Third stage

Prolonged

Answer 5

Undelivered placenta>30m

Question 6

2 criteria met before diagnosis

Answer 6

4 cm dilatation

200 Montevideo units or more in a 10 min period

Question 7

Type of uterine dysfunction
Uncoordinated asynchronous uterine dysfunction
Basal tone is increased
Latent phase of stage 1

Answer 7

Hypertonic

Sedation

Question 8

Type of uterine dysfunction
Synchronous dysfunction
No basal hypertonus
Active phase of stage 1

Answer 8

Hypotonic

Oxytocin

Question 9

Problems of passage

Answer 9

CPD

fetopelvic disproportion

Question 10

Delivery with Kielland forceps

Answer 10

Deep transverse arrest of the head

Question 11

Shoulder dystocia drill

Answer 11

Call for help. Gentle traction. Drain bladder
Mediolateral episiotomy.
Episioproctotomy.
Suprapubic pressure.

McRoberts
Wood corkscrew
Posterior shoulder delivery
Symphisiotomy. Cleidotomy. Zavanelli

Question 12

Progressive rotation of post shoulder 180 degrees

Answer 12

Wood’s Corkscrew Maneuver

Question 13

Fetal shoulders rocked from side to side

Answer 13

Rubin’s Maneuver

Question 14

Shoulder horn instrument between symphis pubis and impacted shoulder

Answer 14

Chavis maneuver

Question 15

Pressure applied to infant’s jaw and neck in the direction of the mother’s rectum with strong fundal pressure

Answer 15

Hibbard’s Maneuver

Question 16

Precipitous labor

Answer 16

3 h
N5cm/h M10cm/h
WOF PP hemorrhage

Question 17

Most important way to asses progress of labor

Answer 17

Cervical dilatation

WHO partogram