labour + delivery

Question 1

1st stage

Answer 1

onset of labour to 10cm dilation

involves cervical effacement and dilatation

3 phases

• latent
• active
• transitional

Question 2

1st stage - latent phase

Answer 2

0-3cm
0.5cm an hour
irregular contractions

Question 3

1st stage - active phase

Answer 3

3-7cm
1cm an hour
regular contractions

Question 4

1st stage - transition phase

Answer 4

7-10cm
1cm an hour
strong and regular contractions

Question 5

2nd stage

Answer 5

10cm dilation to birth of baby

Question 6

2nd stage - active

Answer 6

presenting part visible

voluntary expulsive contractions

Question 7

2nd stage - passive

Answer 7

fully dilated

no expulsatory contractiions

Question 8

3rd stage

Answer 8

birth of baby to delivery of placenta

Question 9

3rd stage - physiologicl

Answer 9

placenta delivered by maternal effort

no drugs or cord traction

Question 10

3rd stage - active Mx

Answer 10

shortens 3rd stage and reduces risk of bleeding

IM oxytocin
controlled cord traction

Question 11

lie of baby

Answer 11

longitudinal
transverse
oblique

Question 12

baby presentation - cephalic

Answer 12

head first

Question 13

baby presentation - shulder

Answer 13

shoulder first

Question 14

baby presentation - breech

Answer 14

legs are first

Question 15

complete breech

Answer 15

hips and knees flexed

like cannonball jump into pool

Question 16

frank breech

Answer 16

hips flexed and knees extended

bottom first

Question 17

footling breech

Answer 17

foot hanging out cervic

Question 18

cardinal movements of labour

Answer 18

engagement
descent
flexion 
internal rotation 
extension 
restitution and external rotation 
expulsion