Labour Evaluation

Question 1

What is labour?

Answer 1

cervical changes accompanied by regular uterine contractions

Question 2

latent phase - define

Answer 2

under 4 cm dilation and full effacement (thinning)

Question 3

active phase - define

Answer 3

portion of labour where dilation occurs more rapidly and cervix > 4cm dilation (to 10cm)

Question 4

protraction of active phase - define

Answer 4

cervical dilation in the active phase of labour that is < 1.2 cm/h for null and 1.5 cm/h for multi

Question 5

arrest of active phase - define

Answer 5

no progress in active phase of labour for 2 hours

Question 6

first stage of labour - define

Answer 6

onset of labour to complete dilation of the cervix

Question 7

second stage of labour - define

Answer 7

dilation to complete delivery of the placenta

Question 8

normal FHR

Answer 8

110-160 bpm

Question 9

decels that offset with each contractions are indicative of…

Answer 9

fetal hypoxemia

Question 10

early decels followed by contractions are problems?

Answer 10

benign

Question 11

what are the types of decels?

Answer 11

early - mirror image of contractions
variable - sudden jagged
late - offset the contractions

Question 12

when you have abnormal labour, you need to consider..

Answer 12

3Ps - power, passage and passenger

Question 13

how many categories of FHR patterns on CTG?

Answer 13

1 - reassuring
2 - watch and wait
3 - ominous - hypoxia or acidosis

Question 14

fetal scalp pH monitoring - procedure

Answer 14

obtaining a small amount of capillary blood from the fetal scalp to assess fetal hypoxemia

Question 15

if weak uterine contractions you give?

Answer 15

oxytocin (ergometrine/syntocin)

Question 16

when baby is at 0 station it is at

Answer 16

plane of ischial spines

Question 17

engagement - define

Answer 17

relationship of the widest diameter of the head/presenting part and its location with reference to the pelvic inlet

Question 18

cervical laceration - will show up when

Answer 18

happens during labour but shows in post-partum

Question 19

why do we not deliver baby’s that have no medical indication early than 40 weeks?

Answer 19

higher risk of NICU admission, resp.distress, sepsis and hyperbilirubinemia and ventilator use

Question 20

cephalopelvic disproportion - define

Answer 20

the presenting part doesn’t fit through the pelvic inlet pelvis. (baby too big/pelvis too small)

Question 21

variable decelerations which are abrupt then are resolved are caused by

Answer 21

cord compression