2nd shifting random questions (Hard)

Question 1

bilateral depressions at the site of lacerations that remain as permanent changes in the cervix

Answer 1

Parous cervix

Question 2

sign of well contracted uterus

Answer 2

Stony hard

Question 3

when does uterus begins to shrink?

Answer 3

2 days after delivery

Question 4

components of the lochia

Answer 4

erythrocytes, decidua, epithelial cells, bacteria

Question 5

causes of sub involution

Answer 5

pelvic infections

retention of placental fragments

Question 6

what is Merititis?

Answer 6

retention of placental fragments

Question 7

Management of Subinvolution

Answer 7

Ergonovine
Methylergonovine
Oxytocin
Curettage

Question 8

complete extrusion of the placental site is when?

Answer 8

after 6 weeks

Question 9

cause of late postpartum hemorrhage

Answer 9

Placental polyp

Question 10

when is the reapperance of ruggae?

Answer 10

after 3 weeks

Question 11

percent of increase in the plasma red cell volume during pregnancy

Answer 11

15-20%

Question 12

percent reduction in the FRC via upward displacement of the diaphragm

Answer 12

15% reduction

Question 13

effect of progsterone to gastric motility and food absorption

Answer 13

decrease

Question 14

source of contractile pain during the 1st stage labor

Answer 14

uterus
adnexia

(mediated by T10-L1)

Question 15

cause of pain in the 2nd stage of labor

Answer 15

distention of birth canal, vulva and perineum

mediated by S2-S4

Question 16

acupuncture is what type of non pharmacologic method of pain relief?

Answer 16

intercutaneous nerve stimulation

Question 17

regional anesthesia adequate for spontaneous delivery and outlet forceps

Answer 17

Pudendal Block

Question 18

complication of blockage of Frankenhauser’s Ganglion

Answer 18

Fetal Bradycardia

Paracervical block

Question 19

hypotension is a common side effect of what anesthetic technique?

Answer 19

Subarachnoid/Spinal Anesthesia

Question 20

what causes the supine hypotensive syndrome (with risks of MG, polyhaydramnios and DM)

Answer 20

Aortocaval syndrome/ compression

Question 21

significance of ruptured membranes (3)

Answer 21

1. Labor is soon to happen
2. Chorioamnionitis
3. Cord prolapse/compression

Question 22

color of positive Nitrazine test and what does in signify?

Answer 22

(+) Blue, Amniotic fluid present in vagina (ruptured na)

Question 23

duration of 1st stage of labor in a nulliparous and a multiparous px.

Answer 23

N: 7 h
M: 4 h

Question 24

frequency of FHT monitoring @ the 1st and 2nd stage of labor during High risk pregnancy

Answer 24

1st stage: every 15 minutes

2nd stage: every 5 minutes

Question 25

"lavativa"

Answer 25

enema

Question 26

what is the artificial rupture of bag of water? what is its complicatios?

Answer 26

Amniotomy cord prolapse leading to hypoxemia

Question 27

duration of 2nd stage of labor in a nulliparous and a multiparous px.

Answer 27

N: 50 mins M: 20 mins

Question 28

2 types of pudendal incision

Answer 28

Medial episiotomy | Mediolateral episiotomy

Question 29

what should be the diameter of vaginal introitus when doing the Ritgen maneuver?

Answer 29

> 5cm

Question 30

earliest sign of placental separation

Answer 30

Calkin's sign (glubular and firm Uterus)

Question 31

predisposing factors of transverse fetal lie (4)

Answer 31

multiparous placenta previa hydraminos uterine anomalies

Question 31

predisposing factors of transverse fetal lie (4)

Answer 31

multiparous placenta previa hydraminos uterine anomalies

Question 32

military attitude (type of fetal presentation)

Answer 32

Sinciput (cephalic) presentation

Question 32

military attitude (type of fetal presentation)

Answer 32

Sinciput (cephalic) presentation

Question 33

U shaped fetus is what type of fetal presentation?

Answer 33

Frank Breech Presentation

Question 33

U shaped fetus is what type of fetal presentation?

Answer 33

Frank Breech Presentation

Question 34

least common fetal position/presentation?

Answer 34

Face presentation (0.3%)

Question 34

least common fetal position/presentation?

Answer 34

Face presentation (0.3%)

Question 35

where to auscultate the FHT when the presentation is occiput posterior?

Answer 35

at the back flanks of the mother

Question 35

where to auscultate the FHT when the presentation is occiput posterior?

Answer 35

at the back flanks of the mother

Question 36

causes of breech presentation

Answer 36

``` hydrocephalus placental implantation at the lower uterine segment vertebral extension uterine septum abnormal fetal tone and movement ```

Question 36

causes of breech presentation

Answer 36

``` hydrocephalus placental implantation at the lower uterine segment vertebral extension uterine septum abnormal fetal tone and movement ```

Question 37

the relation of fetal parts to one another

Answer 37

Fetal attitude (posture/Habitus)

Question 37

the relation of fetal parts to one another

Answer 37

Fetal attitude (posture/Habitus)

Question 38

what is the shape of Bregma?

Answer 38

Diamond

Question 38

what is the shape of Bregma?

Answer 38

Diamond

Question 39

palpation to determine the fetal lie

Answer 39

Umbilical grip (2nd leopold's maneuver)

Question 39

palpation to determine the fetal lie

Answer 39

Umbilical grip (2nd leopold's maneuver)

Question 40

the occipitomental plane being the longest AP diameter is presented

Answer 40

Brow presentation

Question 40

the occipitomental plane being the longest AP diameter is presented

Answer 40

Brow presentation

Question 41

what type of drugs may cause anhydramnios?

Answer 41

Antihypertensive drugs (ACE inhibitors)

Question 42

when is weight gain not expected? (weeks of gestion)

Answer 42

during 1st 12 weeks

Question 43

Quickening happens when in multiparous? primiparous?

Answer 43

M: 16-18 wks N: 18-20 wks

Question 44

position of mother when doing the electronic fetal heart monitoring

Answer 44

Semi-fowlers position

Question 45

what features of the fetal heart rate indicates a normal and intact pathways?

Answer 45

FHR variability (Short term;Long term)

Question 46

which FHR decelaration happens at the 2nd stage of labor?

Answer 46

Early deceleration

Question 47

Sinusoidal pattern of FHR indicates what?

Answer 47

Fetal anemia and maternal use of opiods

Question 48

when to consider tocolysis (delaying of labor)

Answer 48

normal FHR + Uterine hypercontractions

Question 49

normal AFI (cm)

Answer 49

5-24 cm.

Question 50

allowable error in UTZ @ the 2nd trimester for AOG determination

Answer 50

+/- 1 week AOG

Question 51

diagnostic procedure that has a risk for talipes deformity

Answer 51

Amniocentesis