Week 4: Labour & Delivery

Question 1

Nesting is…

Answer 1

Surge of energy

Question 2

Ferguson reflex is…

Answer 2

increase in oxytocin receptors/levels

Question 3

In layman’s terms, “rupture of membrane” means:

Answer 3

“my water broke!”

Question 4

True labour is: (5)

Answer 4

• contractions get closer and closer
• increase in duration/intensity
• discomfort = back / abdomen
• DOESN’T GO AWAY with walking
• cervix = efface/dilate

Question 5

False labour is: (5)

Answer 5

• contractions DON’T get closer and closer
• no increase in duration/intensity
• discomfort = abdomen
• may GO AWAY with walking
• no cervical changes

Question 6

What are the 3 fetal presentations?

Answer 6

• cephalic / vertex: head presenting
• breech: butt presenting
• shoulder / transverse: shoulder presenting

Question 7

What does “0 Station” refer to?

Answer 7

the head at the level of the ischial spines (above spine = negative, below spine = positive)

Question 8

Name the 4 types of pelves GAAP

Answer 8

1. Gynecoid (classic female type)
2. Android (resembles male pelvis)
3. Anthropoid (resembles ape pelvis)
4. Platypelloid (flat pelvis)

Question 9

Which pelvic type has a higher rate of caesarean births?

Answer 9

Android

Question 10

What shape is the gynecoid pelvic?

Answer 10

Round

Question 11

Pale, straw coloured amniotic fluid indicates:

Answer 11

normal

Question 12

yellow stained amniotic fluid indicates:

Answer 12

fetal hypoxia, infection

Question 13

Port wine coloured amniotic fluid indicates:

Answer 13

bleeding (placental abruption)

Question 14

Thick cloudy foul smelling amniotic fluid indicates:

Answer 14

infection

Question 15

crowning is:

Answer 15

when the widest part of the head distend the vulva (top of baby’s head shows)