Normal labor

Question 1

Points to remember for puerperium: 4

Answer 1

•Prevention of sepsis at placental site
• Newborn care
• Initiation of breast feeding
• Role of post-natal exercises

Question 2

What’s the management of the normal puerperium? 7

Answer 2

• First hour– important for PPH.
• Early ambulation.
• Avoid strenuous activities for 6 weeks.
• 8-10 hours sleep.
• Needs 300 calories more.
• Care of episiotomy stitches if any.
• Care of nipples and areola.

Question 3

What’s the minor Ailments you gonna treatment?5

Answer 3

• After pains
• Retention of urine
• Pain at site of perineum
• Engorgement of breast
• Treatment of Anemia

Question 4

What’s the communists complication in puerperium ?

Answer 4

Sepsis but largely preventable

Question 5

Puerperal Fever within 24 hours is that abnormal or normal in 24 hrs.

Answer 5

Normal

Question 6

Puerperal pyrexia more than 24 hours in the first 10 days after delivery is that normal or abnormal?

Answer 6

Abnormal.

Question 7

What the causes of Puerperal pyrexia?5

Answer 7

• Uterine infection
• Breast infection
• Urinary infection
• Thrombophlebitis
• Other incidental infections

Question 8

What’s the Puerperal Sepsis ?

Answer 8

Infection of genital tract : Delivery-42
days after delivery.

Question 9

How are you gonna diagnose patient with Puerperal Sepsis ?

Answer 9

2 or > of S&S :
1. pelvic pain.
2. fever 38.50 C.
3. vaginal Discharge.
4. smell of discharge.
5. sub- involution. ( الرحم ما استعاد شكله وحجمه بسبب التهاب )

Question 10

Risk Factors for Puerperal Sepsis 16.

Answer 10

• Anemia
• Malnutrition
• DM
• Prolonged labor
• Obstructed labor
• Prolonged PPROM
• Frequent vaginal examinations
• Operative delivery
• Un-repaired tears
• PPH
• Poor hygiene
• Poor aseptic technique for delivery
• Manipulations high in the birth canal
• Retained bits of placenta or membranes.
• Pre-existing STDs

Question 11

What’s the preventive management of Puerperal Sepsis?

Answer 11

• Good antenatal care
• Proper intra-natal care
• Post natal care

Question 12

What’s the curative management of Puerperal Sepsis?

Answer 12

• General care
• Antibiotics for infection
• Local care of various wounds

Question 13

What’s the early complication of Puerperal Sepsis ? 7.

Answer 13

• Septicemia
• Septic shock
• DIC
• Pulmonary embolization
• Distant spread of infection
• Kidney failure
• Death

Question 14

What’s the late complication of Puerperal Sepsis ? 4

Answer 14

• Menstrual problems
• Chronic pelvic pain
• Chronic PID
• Secondary infertility

Question 15

reasonable time normal delivery time

Answer 15

3-18 hrs

Question 16

True labor

Answer 16

1. Contractions occur at regular intervals
2. Intensity gradually increases
3. Discomfort is in the back and abdomen.
4. Cervix dilates.
5. Discomfort is not stopped by sedation

Question 17

False labor

Answer 17

1. Contractions are irregular.
2. Intensity remains the same.
3. No cervical dilatation.
4. Discomfort relieved by sedation.

Question 18

The show indicates for what?

Answer 18

Labor will begin within 24 hours to 48 hours.

Question 19

DIAGNOSIS OF LABOR

Answer 19

((Painful contraction))
+
1. Show .
Or
2. Rupture of the membranes.
Or
3. cervical effacement.

Question 20

In the first stage of the labor, what the duration for the primigravida?

Answer 20

8-12 hrs

Question 21

In the first stage of labor what the duration of the multigravida

Answer 21

6-8hrs

Question 22

Lochia rubra

Answer 22

1-4
Blood , fetal membrane, decidua , shreads , lanugo, meconium.

Question 23

Lochia serosa

Answer 23

5-6
Leukocytes , mucus , exudate microorganism.

Question 24

Lochia Alba

Answer 24

10-15
Decicual
Cell leukocytes , mucus cholistrin crystals fatty epithelial cells, microorganism.