failure to progress

Question 1

progress in labour iscinfluenced by

Answer 1

power
passenger
passages

Question 2

delay in first stage is classified as

Answer 2

< 2cm cervical dilation in 4hrs

slowing of progress in multiparous women

Question 3

partogram

Answer 3

woman monitored for their progress in 1st stage labour using partogram

Question 4

partogram - what indicate labour not progressing adequately

Answer 4

alert line

action line

Question 5

partogram - crossing alert line

Answer 5

indication for amniotomy and repeat exam in 2hrs

Question 6

partogram - crossing action line

Answer 6

care must be escalated to obstetricians

Question 7

delay in 2nd stage classified as

Answer 7

2hrs nulliparous woman

1hr multiparous women

Question 8

2nd stage - possible interventions

Answer 8

change positions
analgesia
oxytocin 
episiotomy 
instrumental delivery 
CS

Question 9

delay in progress 3rd stage classfied as

Answer 9

> 30min active Mx

> 60min physiological Mx

Question 10

3rd stage active Mx

Answer 10

IM ocytocin

controlled cord traction

Question 11

Mx options

Answer 11

amniotomy
oxytocin infusion
instrumental delivery
CS

Question 12

oxytocin - no. contractions to aim for

Answer 12

4-5 per 10mins