Normal

Question 1

What are the criteria for the latent first stage of labour?

Answer 1

Contractions.

Cervix fully effaced (not yet dilated).

Question 2

What are the criteria for the active first stage of labour?

Answer 2

Contracts.

Cervix fully effaced and dilated.

Question 3

What are the criteria for the propulsive second stage of labour?

Answer 3

Full dilation, head on the pelvic floor.

Question 4

What are the criteria for the expulsive second stage of labour?

Answer 4

irresistible desire to bear down.

Question 5

What is the third stage of labour?

Answer 5

placental delivery

Question 6

Name the stages of labour?

Answer 6

First, latent and active.
Second, propulsive and expulsive.
Third.

Question 7

What is operculum?

Answer 7

cervical ‘lid’/plug becoming dislodged causing a small bleed. aka ‘a show’.

Question 8

What is released as a result of the rupture of membranes, and what does it induce?

Answer 8

Prostaglandins are secreted, encouraging contractions.

Question 9

What is caput?

Answer 9

oedema on the scalp caused by pressure on the head from the cervix.

Question 10

What is moulding?

Answer 10

overlapping of the vault bones.

Question 11

What is the maximum number of 5ths palpable on the abdomen of an engaged baby?

Answer 11

2

Question 12

What are the 4 different terms used to describe the posture of a baby?

Answer 12

Lie.
Presentation.
Attitude.
Position.

Question 13

How can lie be described?

Answer 13

Longitudinal.
Oblique.
Transverse.

Question 14

How can Presentation be described?

Answer 14

Cephalic (vertex) or breech.

Question 15

How can attitude be described?

Answer 15

Flexion, deflexion, extension.

Question 16

How can position be described?

Answer 16

DOP, LOP, LOL, LOA, DOA, ROA, ROL, ROP

Question 17

If a baby’s posture is described as being oblique, what is being described?

Answer 17

the LIE. Its spine is at an oblique angle to it’s mother’s.

Question 18

If a baby’s posture is described as being breached, what is being described?

Answer 18

its PRESENTATION. Their feet are presenting to the pelvic floor.

Question 19

if a baby’s posture is described as being in flexion, what is being described?

Answer 19

ATTITUDE. They are flexed (in the foetal position).

Question 20

if a baby’s posture is described as being Direct Occipital Posterior, what is being described?

Answer 20

POSITION. Occiput is is at the posterior - ‘Face to pubes’

Question 21

Where is station 0?

Answer 21

bregma at level is ischial spines

Question 22

Which drug causes rhythmic uterine contractions

Answer 22

Syntocinon (oxytocin)

Question 23

Which drug causes tetanic contractions?

Answer 23

Ergometrine

Question 24

Why is ergometrine given?

Answer 24

helps prevent PPH.

Question 25

side effects of ergometrine

Answer 25

nausea, vomiting, hypertension.

Question 26

contraindication of ergometrine

Answer 26

hypertension

Question 27

what drug is given as soon as the anterior shoulder emerges from the pubic symphysis?

Answer 27

syntometrine. A mixture of ergometrine and syntocinon.

Question 28

What drug (a synthetic prostaglandin) is given to reduce PPH and induce contractions?

Answer 28

Carboprost

Question 29

What technique is used for the 3rd stage of delivery?

Answer 29

Controlled Cord Traction (aka Brandt-Andrews)

Question 30

Why is the Controlled Cord Technique used for the 3rd stage of delivery?

Answer 30

reduces PPH.

Question 31

What does G3P0+2 mean?

Answer 31

G3 - Has been pregnant 3 times
P0 - None of her pregnancies has gone beyond 24 weeks
+2 - 2 of the pregnancies were terminated/miscarried

ie, she is currently pregnant for the 3rd time.