Labour

Question 1

Latent first stage

Answer 1

• Painful contractions

- some cx. Change up to 4cm dilated

Question 2

Active first stage

Answer 2

Regular painful contractions

Progressive cx. Dilation from 4cm to fully

Question 3

Length of first stage of labour:

Answer 3

Prim: 8-18hrs
Multip: 5-12hrs

Question 4

Expected cx. dilation per hour?

Answer 4

2cm in 4hrs

Question 5

In first stage pulse, bp, temp and contractions every:

Answer 5

Pulse- hrly
Bp+temp- 4hrly
Contractions- 1/2 hrly

Question 6

Vaginal examination every?

Answer 6

Offer 4hrly

Question 7

Fetal obs in first stage

Answer 7

FHR every 15 mins for 1 mins following a contraction

Question 8

Passive second stage

Answer 8

Full dilation of cx. prior to/absence of involuntary pushing

Question 9

Active second stage

Answer 9

Visible presenting part

Involuntary pushing

Question 10

Length of second stage of labour:

Answer 10

Nulliparous: 3hrs
Multiparous:2hrs

Question 11

Maternal observations in 2nd stage of labour

Answer 11

Pulse + bp = hrly
Temp = 4hrly
Contractions = 1/2 hrly

Question 12

Fetal obs in 2nd stage of labour

Answer 12

FHR every 5 mins for 1 min following a contraction

Question 13

Physiological 3rd stage can take up to:

Answer 13

1 hour

Question 14

Active physiological 3rd stage takes up to:

Answer 14

30mins

Question 15

Uterotonic drugs

Answer 15

Syntocinon

Syntometrin

Question 16

Folic acid dosage

Answer 16

• 400mcg

- 5mg for those at risk

Question 17

EAR (estimated average requirement) extra in pregnancy

Answer 17

200kcal

Question 18

FHR should be ____ bpm

Answer 18

110-160

Question 19

Schultze presentation

Answer 19

Fetal side presenting
Clot develops at centre of uterine wall
80% of third stages

Question 20

Matthew Duncan presentation

Answer 20

Associated with laterally attached placenta
Clot develops at side of uterine wall
Blood loss not contained in membranes and more visible