Stages Of Labour

Question 1

Perineal injury cannot be prevented by

Answer 1

Routine episiotomy
It is associated with increased incidence of disruption of anal spinchters and rectal tears

Question 2

Indications of episiotomy

Answer 2

Breech
Shoulder dystotia
Feral macrosomia
Operative vaginal deliveries
Persistent occipital posterio positions

Question 3

How can we perineal tear

Answer 3

Avoid delivery by early extension
Deliver head in between contractions
Perform timely episiotomy when indicated not routinely

Question 4

Most comm cause of cephalo pelvic disproportionate

Answer 4

Rickets in developing
Trauma in developed

Question 5

Uterine tachysysstole

Answer 5

Uncoordinated uterine contractions > 6 in 10 minutes

Associated with late active phase dysfunction wer cervix is already 7cm dilated
Common in occipital posterior position
Wait and watch policy is indicated
Common in nulliparius female

Question 6

Hypotonic uterine stimulation

Answer 6

Uterine contractions are inadequate
Associated with early active phase
More common in nummiparous

Question 7

What is the line of management in the false labour pain a
And prolonged latent phase

Answer 7

Sedate and wait

Question 8

How is false labour pain is differentiating from latent phase if

Answer 8

Therapeutic rest valla false labour pothadi
Latent phase confirmed Atama oxytocin Ishtar
Amniotomyis not useful

Question 9

What is scar dehiscence

Answer 9

Maternal tachycardia
Fetal bradycardia
Hypotension
Uterine scare tenderness
Bleeding per avian
Hematuria

Question 10

Iugr management

Answer 10

Wait for spontaneous expulsion
Forceps extraction is done only when it does not spontaneously
Arom is not recommending because of infection
C section is avoided

Question 11

The best gym for elective delivery in patient’s with previous stillbirth is

Answer 11

39 weeks by induction or C-section
use for fetal growth restriction after 28 weeks
Kick counts
Anterpartum fetal surveillance
Support and reassurance

Question 12

Best way to manage in the obstructed labour is

Answer 12

C section

Question 13

Obstructed labour

Answer 13

Dehydration
Exhaustion
Tachycardia
Tachypnea

Question 14

Per abdominal examination the uterus in obstructed area will be Lok

Answer 14

Thick, tender,tonically contacted
Lower uterine segment thin and strep

Question 15

Bandl’s ring

Answer 15

The groove between up uterine segment and lower uterine segment
Seen and felt

Question 16

Pervaginal findings of obstruction labour

Answer 16

Hot and dry vagina
Caput present
Moulding present
Hematuria presents or absent

Question 17

Per a dome finding of obstructed labour

Answer 17

Thin and stretched lower uterine segment
Tender thick tonically contracted upper uterine segment
Bandl’s sign
Fetal distress
Suprapubic bulge as the bladder is compressed between pubic symphysis and fetal head

Question 18

Manage me t of obstructed labour

Answer 18

Whether live or dead always c section
Never give oxytocin a shot
Dehydration correction and sepsis correction

Question 19

Complications of obstructed labour

Answer 19

Rupture of uterus
7-14 vesicovaginal fistula

Question 20

What part is affected in the over cutting of episiotomy

Answer 20

External anal spincter

Question 21

How many degrees of perineal tear is present

Answer 21

First degree restricted to skin of fourchette
Second degree
Muscle of perineal body

Third degree
External anal sphincter

Forth
External anal sphincter plus anal mucosa

Question 22

When the cord is prolapsed what is the immediate step of management

Answer 22

Cord prolapse
Baby alive

C section
Immediate vaginal delivery not possible
First aid like
Tendelberg position
Posture exaggerate and elevated sims
Bladder fillin

Question 23

What is schroeders constriction ring

Answer 23

Due to I coordinated uterine action when there is localised spastic contractions of sting of circular muscle fibre of uterus

Question 24

Most common cause of non engagement of at term

Answer 24

Deflected head
Then cephalopelvic disproportion

Question 25

Problems of prolonged. Labour

Answer 25

Infection
Ketosis
Obstructed labour
Danger of asphyxia

Question 26

Latent phase is prolonged when

Answer 26

It exceeds more than 20 hrs
Nulli lo 20
Mukti lo 14