TO LEARN MARCH

Question 1

how to manage fetal stress?

Answer 1

• change maternal position
• IV fluids
• stop syntocinon
• consider tocolysis
• feotal blood >7.25 normal, <7.2 = deliver

Question 2

how long does the puerperium last?

Answer 2

6 weeks after childbirth

Question 3

where is spinal anaesthesia inserted to?

Answer 3

subarachnoid space of L3-L5 region to anaesthitize the cauda equina

Question 4

what is the most common side effect of epidural anaesthesia?

Answer 4

hypotension (20%)

Question 5

what is engagement?

Answer 5

passage of the widest diameter of the presenting part to a level below the plane of the pelvic inlet

Question 6

what is descent?

Answer 6

downward movement of the presenting part through the pelvis

Question 7

what is flexion?

Answer 7

flexion of the fetal head occurs passively as the head descends due to teh shape of the bony pelvis and the resistance offered by the soft tissues

Question 8

what is internal rotation?

Answer 8

rotation of the presenting part from its origina position to the anterior position as it passes through thepelvis

Question 9

what is extension?

Answer 9

occurs once the fetus has reached the introitus and the base of the occiput is in contact to the inferior margin of the pubic symphysis

Question 10

what is external rotation?

Answer 10

return of the fetal head to the correct anatomical position in relation to teh fetal torso and shoulders