Lesson 10

Question 1

A loop of the umbilical cord slips down in front of the presenting part

Answer 1

Umbilical cord prolapse

Question 2

Place the mother’s hips higher than head

Answer 2

Knee-chest position

Question 3

This position cause the fetal head to fall back from the cord

Answer 3

Trendelenburg position

Question 4

Used to reduce compression on the cord within infusion of 500 ml warmed NSS

Answer 4

Amnioinfusion

Question 5

This can also be performed to women with oligohydramnios

Answer 5

Amnioinfusion

Question 6

Administered to reduce uterine activity and pressure on the fetus

Answer 6

Tocolytic agent

Question 7

Emergency Management of Cord Prolapse

Answer 7

Call for help
Organize delivery
Relieve pressure on the cord
Delivery

Question 8

Narrowing of the anteroposterior diameter of the pelvis to less than 11 cm

Answer 8

Inlet contraction

Question 9

Narrowing of the tranverse diameter

Answer 9

Outlet contraction

Question 10

This is usually caused by rickets in early life or inherited pelvic size

Answer 10

Inlet contraction

Question 11

“Done when inlet has a borderline measurement” and the fetal lie position is good

Answer 11

Trial Labor

Question 12

Caused by lack of Vitamin D

Answer 12

Rickets

Question 13

To determine whether labor will progress normally

Answer 13

Trial labor

Question 14

Fetal head is too large to pass through the bony pelvis

Answer 14

Cephalic Disproportion

Question 15

Is cephalic disproportion necessary for cs

Answer 15

Yes

Question 16

Shoulder dystocia occurs on what stage of labor

Answer 16

2nd stage of labor

Question 17

Ask patient to flex her thighs sharply on her abdomen to widen pelvic outlet and allow the anterior shoulder to be born

Answer 17

McRobert’s Maneuver

Question 18

What is normal weight of the placenta

Answer 18

500 g
1/6 of the weight of fetus

Question 19

What is the size/length of normal placenta

Answer 19

15 to 20 cm
1.5 to 3 cm thick

Question 20

It has 1 or more accessory lobes connected to the main placenta

Answer 20

Placenta Succenturiata

Question 21

The fetal side of the placenta is covered by some extent by the chorion

Answer 21

Placenta Circumvallata

Question 22

The placenta is cup shaped with raised margins

Answer 22

Placenta Circumvallata

Question 23

The cord is inserted marginally rather than centrally giving the “appearance of a tennis racket”

Answer 23

Battledore placenta

Question 24

The cord, instead of entering the placenta directly, separates into small vessels that reach the placenta by spreading cross a fold of amnion

Answer 24

Velamentous insertion of the cord

Question 25

The umbilical vessels of a velamentous cord insertion cross the cervical os and deliver before the fetus

Answer 25

Vasa previa

Question 26

Unusually deep attachment of the placenta to the uterine myometrium

Answer 26

Placenta Accreta