Labour

Question 1

What is the 1st stage of labour divided into

Answer 1

Latent phase

Established Phase

Question 2

Describe the latent phase of 1st stage labour

Answer 2

Painful, often irregular contractions
Some cervical effacement
Some dilation up to 4cm

Question 3

Describe the established phase of 1st stage labour

Answer 3

Regular contractions
Progressive effacement
Cervical dilation from 4-10cm

Question 4

What is the satisfactory rate of cervical dilation in established labour

Answer 4

0.5-1cm/hr

Question 5

How often should the cervix be checked during labour

Answer 5

Every 4 hrs

Question 6

What are the 2 phases of 2nd stage labour

Answer 6

Passive phase

Active phase

Question 7

What is the passive phase of 2nd stage labour

Answer 7

when cervix are fully dilated (10cm)

Absence of involuntary expulsive contractions

Question 8

How long should a women be in passive 2nd stage labour for

Answer 8

1hr

Question 9

What is the purpose of passive phase of 2nd stage labour

Answer 9

To allow for further feral descent

Question 10

What is the active phase of 2nd stage labour

Answer 10

Pushing phase

Mother pushes using valsalva manoeuvre and abdominal muscles

Question 11

Which medication should be given for augmentation of labour

Answer 11

Oxytocin

Question 12

What should the delay be in clamping the cord in a premature baby and why

Answer 12

3min

To decrease risk fo anaemia

Question 13

What should the delay be in clamping the cord in a full term baby

Answer 13

1min

Question 14

Where does 1st stage labour begin and end

Answer 14

Begins with regular contractions

Ends at full dilation of cervix

Question 15

Where does 2nd stage labour begin and end

Answer 15

Begins at full cervical dilation

Ends at delivery of fetes

Question 16

Where does 3rd stage labour begin and end

Answer 16

Beings at the delivery of the foetus

Ends at the delivery of the placenta and fetal membranes

Question 17

What is 3rds stage labour

Answer 17

The delivery of the placenta and membranes

Question 18

What is physiological management of thirst stage labour

Answer 18

No use of uterotonic drugs

No clamping of the cord until pulsation has stopped Delivery of placenta by maternal efforts

Question 19

How quickly from the beginning of active 2nd stage would you expect delivery from a primigravida

Answer 19

2hrs

Question 20

How quickly from the beginning of active 2nd stage labour would you expect delivery from a multigravida

Answer 20

1hr

Question 21

Components of active management of 3rd stage labour

Answer 21

Use of uterotonic drugs
Early clamping of cord
Controlled cord traction after signs of placenta separation

Question 22

Which uterotonic drugs are given in active management of 3rd stage

Answer 22

Ergometrine

Oxytocin

Question 23

When is prolonged 3rd stage labour Dx in active management

Answer 23

After 30mins

Question 24

When is prolonged 3rd stage labour Dx in physiological management

Answer 24

After 60 mins

Question 25

Steps of the mechanism of labour

Answer 25

Descent
Flexion
Internal rotation of the head
Crowning and extension of the head
Restitution
Internal rotation of the shoulders
External rotation of the head
Lateral flexion