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Flashcards in Normal Delivery & Puerperium Deck (79)
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1

The foetal head is described as being engaged when the widest part has passed what anatomical landmark?

Pelvic inlet

2

The descent of the foetus during labour can be assessed using what terminology?

Stations

3

As the foetal head descends in labour, what position is it usually in?

Occiput-transverse

4

Descent of the foetus in labour is most effective when the head is in what position?

Flexion

5

In labour, at the level of the pelvic outlet, the foetus makes what cardinal movement to end up in what position?

Internal rotation to be occiput-anterior

6

What term is used to describe the appearance of a large segment of the foetal head at the introitus?

Crowning

7

Which cardinal movement of the foetus occurs as it is crowning?

Extension

8

At restitution, after the foetal head has been delivered, what cardinal movement occurs?

External rotation

9

After the head, what is usually the next part of the foetus to deliver in labour?

Anterior shoulder

10

What are the three main factors influencing labour?

Power, passenger, passage

11

Up to how many uterine contractions in 10 minutes would be considered normal in labour?

3-4

12

What is the normal foetal lie at labour?

Longitudinal

13

What is the normal foetal presentation at labour?

Cephalic

14

What is the normal foetal position at labour?

Occiput-anterior

15

What part of the foetus should present first in labour?

Vertex

16

Which hormone is responsible for inhibiting uterine contractions throughout pregnancy?

Progesterone

17

Which hormone stimulates the production of uterotonic substances such as oxytocin and prostaglandinds which trigger uterine contractions?

Oestrogen

18

Describe the beginning and end points of the first stage of labour?

The onset of contractions until the cervix is fully dilated and effaced

19

The latent phase of the first stage of labour lasts until the cervix is dilated how far?

4cm

20

The active phase of the first stage of labour lasts until the cervix is dilated how far?

10cm

21

Describe the beginning and end points of the second stage of labour?

From the cervix being 10cm dilated to the delivery of the baby

22

Describe the beginning and end points of the third stage of labour?

From the delivery of the baby to the delivery of the placenta and membranes

23

Describe the contractions which occur in the latent phase of the first stage of labour?

Mild and irregular

24

Describe Braxton-Hicks contractions?

Relatively painless contractions which do not increase in intensity or frequency

25

Describe the contractions which occur in the active phase of the first stage of labour?

Painful and regular

26

True labour contractions occur under the influence of which hormone?

Oxytocin

27

During the active phase of the first stage of labour, how often are women offered a vaginal examination?

Every 4 hours

28

A dilatation of how many centimetres per hour suggests normal progress in the active phase of the first stage of labour?

1-2cm

29

What is the minimum dilation required to state that adequate progress is being made in the active phase of the first stage of labour?

2cm every 4 hours

30

Are women advised to eat and drink during the active phase of the first stage of labour?

Yes