labour and delivery

Question 1

Define the first stage of labour

Answer 1

onset of labour (true contractions) until 10cm cervical dilatation

Question 2

Define the second stage of labour

Answer 2

10cm cervical dilatation to delivery of the baby

Question 3

Define the third stage of labour

Answer 3

delivery of the baby to delivery of the placenta

Question 4

Pessaries containing what can be used to induce labour

Answer 4

prostaglandin E2 (dinoprostone)

Question 5

What can help to reduce braxton hicks contractions

Answer 5

staying hydrated
relaxation

Question 6

The first stage of labours has how many phases

Answer 6

3

Question 7

phase one of the first stage of labour is called the

Answer 7

latent phase

Question 8

during the latent phase

Answer 8

cervix dilates to 3cm
there are irregular contractions

Question 9

during the latent phase the cervix dilates at roughly

Answer 9

0.5cm an hour

Question 10

the second phase of the first stage of labour is called the

Answer 10

active phase

Question 11

during the active phase the cervix dilates

Answer 11

from 3 to 7 cm
at roughly 1cm an hour

Question 12

the third phase of stage one labour is called the

Answer 12

transition phase

Question 13

during the transition phase the cervix dilates

Answer 13

from 7 to 10 cm
at roughly 1 cm an hour

Question 14

the second stage of labour depends on the

Answer 14

3 p’s

Question 15

What are the 3 p’s of the second stage of labour

Answer 15

power
passenger
passage

Question 16

define longitudinal lie

Answer 16

the fetus is straight up and down

Question 17

define transverse lie

Answer 17

the fetus is straight side to side

Question 18

define oblique lie

Answer 18

the fetus is at an angle

Question 19

define complete breech presentation

Answer 19

hips and knees flexed (like doing a cannonball jump into a pool)

Question 20

define a frank breech presentation

Answer 20

hips flexed and knees extended, bottom first

Question 21

define a footling breech presentation

Answer 21

foot through the cervix

Question 22

7 cardinal movements of labour

Answer 22

Engagement
Descent
Flexion
Internal Rotation
Extension
Restitution and external rotation
Expulsion

Question 23

How is descent measures

Answer 23

position of the baby’s head in relation to the mother’s ischial spines

Question 24

What should prompt active management of the third stage of labour

Answer 24

Haemorrhage
or
More than a 60-minute delay in delivery of the placenta