Labour

Question 1

Progression of smooth muscle in cervix

Answer 1

Decreases from proximal cervix(internal os) to distal cervix

Question 2

First stage of labour

Answer 2

Onset of regular painful uterine contractions and ends with complete cervical dilation

Question 3

Latent phase

Answer 3

Onset of contractions to 4cm dilation

Question 4

When is latent phase said to be prolonged

Answer 4

If more than 8hrs
Contractions <3 in 10 lasting for <20sec

Question 5

Adequate contractions

Answer 5

3 or 4 in 10 mins lasting 40-60 sec

Question 6

Mechanism of labour

Answer 6

Engagement
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
Expulsion

Question 7

Average duration of 1st stage for multipara and nullipara

Answer 7

8 hrs

12 hrs

Question 8

Prolonged 1st stage

Answer 8

Beyond 14 hrs

Question 9

Prolonged 2nd stage

Answer 9

1 hr for multipara
2hr for nullip

Add 1 hr if Epidural is given

Question 10

Retained placenta

Answer 10

When the placenta has not been delivered 30 mins after delivery of the baby in the absence of active bleeding.

Question 11

4th stage of labour

Answer 11

First 6 hours after delivery of placenta

Question 12

Time for checking these parameters in labour

• Contractions
• Fetal Heart
• Descent
• Cervical dilation
• pulse
• BP
• Temperature
• Urinary output

Answer 12

C & F - 30 mins
Descent and cervical dilation
4 hourly

Pulse - 30 mins

BP - 2 hrs

Temp - 4 hrs

Urinary output - 4 hrs

Question 13

How to record colour of amniotic fluid

Answer 13

I - Intact membranes
C- ruptured, clear
M- meconium stained
B- blood stained
A- absence of fluid

Question 14

Degree of molding

Answer 14

1st - parietal bones touch each other
2nd - overlap but reducible
3rd - overlap but can’t be separated

Question 15

Cervical Dilatation denoted by which symbol

Descent

Pulse

BP

Answer 15

Cross

Circle

Dot

Arrow

Question 16

Denoting contractions

Answer 16

….. - less than 20 sec

Shading - 20 and 30

Solid - more than 40 sec

Question 17

When not to start patient on partograph

Answer 17

When Dilatation is less than 4cm or greater than or equal to 8cm

Question 18

What drug differentiates false labour from true labour

Answer 18

Pethidine IM

Question 19

Comtraindications of ARM

Answer 19

HIV
Hep B

Question 20

Precaution for augmenting labour

Answer 20

Rule out CPD

Question 21

Abnormal labour

Answer 21

Becomes abnormal if there’s poor progress and fetal shows signs of compromise

Question 22

Define prolonged labour

Answer 22

Lasting more than 14 hrs

Question 23

In which positions does deep transverse arrest occur

Answer 23

Occipito posterior

The occipito frontal diameter gets caught up at the ischial spine

Question 24

How is incordinate contrx corrected in nullip

Answer 24

Oxytocin infusion

Question 25

Obstructed labour

Answer 25

Lack of progress in spite of adequate uterine contractions

Question 26

Empty sleeve seen in

Answer 26

Obstructed labour

Question 27

Bandyls ring

Answer 27

A pathological retraction ring seen as a ridge above pubis symphysis and marks junction between the upper and lower uterine segment

Question 28

GAG replaced by

Answer 28

Hyaluronic acid