Normal Labor And Delivery 2

Question 1

Score 0, 1, 2, 3 for cervical dilation?

Answer 1

Closed, 1-2, 3-4, greater than 5

Question 2

Score 0, 1, 2, 3?

Answer 2

0-30, 40-50, 60-70, greater than 80

Question 3

Score 0, 1, 2, 3 for station?

Answer 3

-3, -2, -1 to 0, greater than 1

Question 4

Score 0, 1, 2, for cervical consistency?

Answer 4

Firm, med, soft

Question 5

Score 0, 1, 2 for cervical position?

Answer 5

Posterior, midline, and anterior

Question 6

A bishop’s score of what value is considered unfavorable?

Answer 6

Less than 6

Question 7

What is a score greater than 8?

Answer 7

Probability of vaginal delivery after labor induction is similar to that of spontaneous labor

Question 8

3 cervical ripening agents?

Answer 8

Dinoprostone
Misoprostol
Mechanical dilators

Question 9

What is the only FDA approved drug for induction and augmentation?

Answer 9

Pitocin

Question 10

3 pitocin complications?

Answer 10

Uterine tachysystole
Antidiuretic effect (similar structure to ADH)
Uterine muscle fatigue

Question 11

What is an adverse effect of regional anesthesia?

Answer 11

Decreased uterine blood flow

Question 12

Uterine contractions and cervical dilation result in visceral pain?

Answer 12

T10-12 through L1

Question 13

Descent of fetal head and pressure from it generate somatic pain via what nerve and spinal level?

Answer 13

Pudendal at s2-s4

Question 14

How do we define regional anesthesia for labor?

Answer 14

Partial or complete loss of pain sensation below t10 level

Question 15

What are the 5 anesthesia options in Labor?

Answer 15

Non pharm
Parenteral
Regional, epidural or spinal
Local, pudendal block
General

Question 16

What are 5 non pharm options for helping with pain?

Answer 16

Breathing, massage, hydrotherapy, acupuncture, emotional support

Question 17

What type of agents are we giving parenterally and when are they best used?

Answer 17

Opioids, like morphine or fentanyl

Early stages of labor. These don’t relieve labor pain.

Question 18

What two meds do we give for a local and when would we use a local?

Answer 18

Lidocaine and narcotic.

Before episiotomy or laceration repair

Question 19

When would we use a pudendal block?

Answer 19

When a lady does not have a regional and it can aid for vaginal delivery

Question 20

If a lady is going to have general anesthesia because of an emergency and the baby has to be out yesterday, what is the agent used for induction and what must accompany the med?

Answer 20

Propofol

Airway management