Conduct Of Normal Labor And Delivery

Question 0

This fetal lie presents in over 99% of labors at term

Answer 0

Longitudinal

Question 1

It is the relation of the long axis of the fetus to the mother

Answer 1

Fetal Lie

Question 2

Predisposing factors in a transverse lie includes (4)

Answer 2

Multiparity
Placenta previa
Hydramnios
Uterine anomalies

Question 3

This fetal lie fetal and maternal axes may cross at a 45 degree angle

Answer 3

Oblique lie

Question 4

This lie is usually unstable and always becomes longitudinal or transverse during the course of labor

Answer 4

Oblique lie

Question 5

Characteristic posture of the fetus in the later months of pregnancy

Answer 5

Fetal Attitude

Question 6

Also known as Fetal Habitus or Posture

Answer 6

Fetal Attitude

Question 7

Fetus forms an ovoid mass that correspond roughly to the shape of the uterine cavity

Answer 7

Fetal Attitude

Question 8

Portion of the fetal body that is either foremost within the birth canal or in closest proximity to it

Answer 8

Fetal presentation

Question 9

When thighs are flexed and the legs are extended over the anterior surface of the body

Answer 9

Frank breech

Question 10

If the thighs are flexed on the abdomen and the legs upon the thighs

Answer 10

Complete breech

Question 11

One or both feet or one or both knees are the lowermost

Answer 11

Incomplete breech or Footling breech

Question 12

Refers to the relationship of an arbitrarily chosen portion of the fetal presenting part to the left or right side of the birth canal

Answer 12

Fetal Position

Question 13

The shoulder presentation, the ____ is the portion of the fetus arbitrarily chosen for the orientation in the maternal pelvis

Answer 13

Acromion

Question 14

Its is customary to refer all transverse lies simply as ___

Answer 14

Shoulder presentation

Question 15

Another term used is transverse lie with ____

Answer 15

Back up or Back down

Question 16

This Leopolds manuever is done when the examiner stands on the side of the bed and faces the patient

Answer 16

L1-2-3

Question 17

This Leopolds maneuver is done when the examiner reverses this position and faces her feet for the last maneuver

Answer 17

L4

Question 18

Leopolds maneuver is difficult if not impossible to perform and interpret if the patient ___ or ____

Answer 18

Obese

Placenta is anteriorly implanted

Question 19

First maneuver is also know as ___

Answer 19

Fundal grip

Question 20

Examiner gently palpates the fundus with the tips of the fingers of both hands to define which fetal pole is present in the FUNDUS

Answer 20

First maneuver

Question 21

What can be interpreted in the first maneuver

Answer 21

Breech or Cephalic

Question 22

When sensation of a large, nodular body

Answer 22

Breech

Question 23

Hard and round which is more freely movable and balottable

Answer 23

Cephalic

Question 24

Second maneuver is also known as ___

Answer 24

Lumbar grip

Question 25

The palms are placed on either side of the abdomen and gentle but deep pressure is exerted

Answer 25

Second maneuver

Question 26

What can be determined in the second maneuver

Answer 26

Back or Extremities

Question 27

This renders a hard and resistant

Answer 27

Back

Question 28

This renders numerous small, irregular and mobile parts

Answer 28

Extermities

Question 29

Other name for the third maneuver

Answer 29

Pawlik's grip

Question 30

Using the thumb and fingers on one hand, the lower portion of the abdomen is grasped just above the symphysis pubis

Answer 30

Third maneuver

Question 31

The other name of the fourth maneuver

Answer 31

Pelvic grip

Question 32

The tips of the three fingers of each hands exert deep pressure in the direction of the axis of the pelvic inlet

Answer 32

Fourth maneuver

Question 33

What can be detected in the fourth maneuver

Answer 33

Vertex presentation or Face presentation

Question 34

The prominence is on the same side as the small parts

Answer 34

Vertex presentation

Question 35

The prominence is on the same side as the back

Answer 35

Face presentation

Question 36

What are the cardinal movement of labor

Answer 36

``` Engagement Descent Flexion Internal rotation Extension External rotation Expulsion ```

Question 37

Mechanism by which the biparietal diameter, the greatest transverse diameter of the fetal head passes through the pelvic inlet

Answer 37

Engagment

Question 38

Fetal head may engage during the ____ or ______

Answer 38

Last few weeks of pregnancy | Not until after the commencement of labor

Question 39

Fetal head is freely movable above the pelvic inlet at the onset of labor

Answer 39

Floating head

Question 40

The fetal head usually enters the pelvic inlet either ___ or ___

Answer 40

Transversely or obliquely

Question 41

First requisite of birth of the newborn

Answer 41

Descent

Question 42

In nulliparas, the engagement may take place ____ and further descent may not follow until ____

Answer 42

Onset of labor | Not follow until the onset of the second stage

Question 43

In multiparous women, descent usually begins ___

Answer 43

With engagement

Question 44

Descent is brought to you by one or more 4 forces:

Answer 44

1. Pressure of the amniotic fluid 2. Direct pressure on the fundus upon breech with contraction 3. Bearing down efforts of the maternal abdominal muscle 4. Extension and straightening of the fetal body

Question 45

The chin is brought into more intimate contact with fetal thorax

Answer 45

Flexion

Question 46

Suboccipitobregmatic diameter in flexion is substituted with ____

Answer 46

Occipitofrontal diameter

Question 47

Consists of turning of head in such a manner that the occiput gradually moves toward the symphysis pubis anteriorly from its original position

Answer 47

Internal rotation

Question 48

This is essential for the completion of labor, except when the fetus is ___

Answer 48

Internal rotation | Unusually small

Question 49

This happens when the head presses upon the pelvic floor

Answer 49

Extension

Question 50

2 forces involves in during extension:

Answer 50

1. Exerted by the uterus (acts more posteriorly) | 2. Resistant of the pelvic floor and the symphysis pubis (acts more anteriorly)

Question 51

Delivered head undergoes reinstitution

Answer 51

External rotation

Question 52

Brings its bisacromial diameter in the relation with the AP diameter of the pelvic outlet

Answer 52

External Rotation

Question 53

Almost immediately after external rotation

Answer 53

Expulsiom

Question 54

The anterior shoulder appear under the symphysis pubis

Answer 54

Expulsion

Question 55

Perineum soon becomes distended by the posterior shoulder

Answer 55

Expulsion

Question 56

After delivery of the shoulders, the rest of the body quickly passes

Answer 56

Expulsion

Question 57

Its is the lateral deflection of the head to a more anterior or posterior position in the pelvis

Answer 57

Asynclitism

Question 58

Two types of asynclitism

Answer 58

Anterior | Posterior

Question 59

If the sagittal suture approaches the sacral promontory

Answer 59

Anterior asynctilism

Question 60

More of the anterior parietal bone presents itself to the examining fingers

Answer 60

Anterior synctilism

Question 61

The sagittal suture lies closes to the symphysis

Answer 61

Posterior asynctilism

Question 62

More of the posterior parietal bone will present

Answer 62

Posterior asynctilism