Intrapartum

Question 1

How can you distinguish false labor from true labor?

Answer 1

contractions occur at irregular intervals and remain the same in intensity

Question 2

What tests can be perfomred to see if a women has ruptured her membranes?

Answer 2

nitrazine test, positive valsalva, ferning

Question 3

What is normal effacement?

Answer 3

3-4cm

Question 4

What is station of the ischial spines? Introitus?

Answer 4

+1 is spines, +3 is introitus

Question 5

What are the risk factors for breech?

Answer 5

low birth weight, placenta previa, multiparity, multiple gestations, uterine anomalies, hydaminios/oligohydraminos

Question 6

What are the normal stages of labor?

Answer 6

engagement, descent, internal rotation, extension, external rotation, delivery of anterior shoulder, delivery of posterior shoulder

Question 7

What do you do if you see decels?

Answer 7

STOP
sterile vaginal exam
turn patient to left
give O2
stop ptocin

Question 8

What does lack of beat to beat variability indicate?

Answer 8

acidosis

Question 9

What are the pelvis shapes with low prognosis of vaginal delivery?

Answer 9

android and platpelloid

Question 10

How do you prevent hypotension for women given epidural anesthesia?

Answer 10

fluid volume expansion

Question 11

A woman presents with cord prolapse. Appropriate management?

Answer 11

C section - dont push the cord back in!