Parturition, Normal Labor, and Delivery Flashcards
Question Bank
Which of the following will necessitate admission of a pregnant woman?
A. Production of bloody vaginal discharge
B. Uterine contraction every 2x/hour mild
C. Watery vaginal discharges
D. Bipedal edema
C. Watery vaginal discharges
Increased risk of chorioamnionitis
The bony part of the pelvis and maternal soft parts represent this determinant labor outcome.
A. Passenger Fetus
B. Powers
C. Parity
D. Passage
D. Passage
The cardinal movements of labor occur during this division
A. Latent phase
B. Acceleration phase
C. Dilatation division
D. Pelvic division
D. Pelvic division
Labor is confirmed under the following circumstances
A. No uterine contractions, cervix 2cm, 50% effaced
B. Cervix 1cm, uneffaced, irregularly occurring
contraction
C. Intermittent contraction q30 min, cervix 3cm, 50%
effaced
D. Bloody show, mild contractions, cervix 1cm,
uneffaced
C. Intermittent contraction q30 min, cervix 3cm, 50%
The strict definition of labor is uterine contraction that bring about demonstrable effacement and dilation of the cervix.
Which of the following is an exclusion in the indication of doing vaginal examination?
A. History of vaginal bleeding episodes starting 5th
month of pregnancy
B. Presence of bloody mucoid discharges upon
admission
C. History of watery vaginal discharge 1 hour before
admission
D. Induction of labor for 2 hours already
A. History of vaginal bleeding episodes starting 5th
A vaginal examination is performed unless there is a known placenta previa or vasa previa.
Management has to be done, no need to do examination.
This cardinal movement converts occipitofrontal to suboccipitobregmatic diameter
A. Descent
B. Flexion
C. Internal rotation
D. External rotation
B. Flexion
Allows the smallest head diameter to progress
What is the best method to monitor progress of labor in a low-risk patient?
Partogram
Which of the following is the most valid indication in performing episiotomy?
A. It is easier to repair a clean incision than a
laceration
B. Doing the procedure hastens the second stage of
labor
C. Delivery by instrumentation is contemplated
D. Episiotomy will preserve the integrity of the
perineum
C. Delivery by instrumentation is contemplated
Or when head is visible during contraction & if there is crowning
A G1P0 patient in early labor. Cervix is 3cm on internal evaluation, asked if she can be given food because
she is famished. Evaluation shows no abnormal findings located. EFW 3.5kg. No comorbid history. The best
response is:
A. give soft diet for energy
B. give her liquid diet
C. start her on antacids
D. start your IVF infusion
D. start your IVF infusion
IVF contains sodium, glucose and water which studies show will prevent dehydration and acidosis at the rate of 60-120 ml/hr.
IV hydration = shortens the labor length
Which of the following necessitates intervention in the 3rd stage of labor?
A. Baby delivered 10 mins with no signs of placental separation
B. Minimal bleeding noted, noted cord lengthening ceased 40 mins postpartum
C. Uterus globular and rose up to the abdomen 10 minutes postpartum
D. Cord slackened with gentle traction 20 minutes
postpartum
B. Minimal bleeding noted, noted cord lengthening ceased 40 mins postpartum
3rd stage of labor is limited to 30 minutes only. Since it’s been already 40 minutes, there is no more lenghtening of cord.
At what point in the postpartum will the descent and dilatation curve cross each other under normal uneventful progressive labor?
8-9 cm
