Normal L And D - Moulton

Question 1

When is a cervical exam inappropriate?

Answer 1

Placenta previa

Question 3

What is the minimum rate of cervical dilation for primiparas?

Multiparous?

Answer 3

1. 2 cm/hr

1. 5 cm/hr

Question 4

What is the most common general anesthesia induction agent used?

Carries what risk?

Answer 4

Propfol

16x inc risk of maternal mortality

Question 5

What pelvis resembles an ape, is much larger anteroposterior than transverse diameter, has a narrow pubic arch and creates a long narrow oval shape?

Fetal head position?

Answer 5

Anthropoid

OP

Question 6

If uncomplicated, External fetal monitoring how often in active phase of 1st stage?
2nd stage?

Complicated 1st stage?
2nd?

Answer 6

Q30 min
Q15 min

Q15 min
Q5 min

Question 8

What allows you to assess the strength of contractions?

Answer 8

IUPC

Question 9

Which episiotomy is most commonly performed, has greater risk of extension into 3rd or 4th degree and has less postpartum pain?

Answer 9

Midline

Question 13

What are Braxton-Hicks contractions?

Answer 13

False labor - irregular contractions w/out cervical change

Question 16

What bishop score is considered unfavorable?

What score is vaginal delivery good?

Answer 16

< 6

> 8

Question 17

Supraoccipitomental is what position?

cm?

Answer 17

Brow presentation (longest)

13.5

Question 18

When is a retained placenta diagnosed?

Answer 18

After 30 min

Question 19

What is the artificial stimulation of labor which has already begun called?

Answer 19

Augmentation

Question 20

What is complete dilation?

Effacement refers to what?

Answer 20

10 cm

Thinning of the cervix

Question 21

Submentogregmatic is what position?

cm?

Answer 21

Face presentation

9.5

Question 22

What pelvis has the widest transverse diameter w/prominent ischial spines and narrow pubic arch?

Fetal head comes through at what position?

Answer 22

Android

OP - face up

Question 23

1st degree perineal laceration described how?

2nd?

3rd?

4th?

Answer 23

Superficial, vaginal mucosa or perineal skin

Extends into muscles of perineal body

Extends into or through anal sphincter

Involves the rectal mucosa

Question 25

Which pelvis types have good prognosis for delivery?

Answer 25

Gynecoid

Anthropoid

Question 28

Uterine contraction and cervical dilation result in visceral pain in what levels?

Descent of fetal head via what nerve?

Answer 28

T10-T12 through L1

Pudendal n. S2-S4

Question 29

What stage of labor does bloody show occur?

Answer 29

2nd

Question 31

What are pitocin complications?

Answer 31

Uterine tachsystole
Antidiuretic effect
Uterine muscle fatigue

Question 32

Which episiotomy has greater blood loss, is more difficult to repair, has more postpartum pain and increased risk of dyspareunia?

Answer 32

Mediolateral

Question 33

What maternal position should she be in bed?

How often monitor vitals?

Answer 33

Left lateral recumbent

Q 1-2hrs while in labor

Question 34

Suboccipitobregmatic is what position?

cm?

Answer 34

Head well flexed

9.5

Question 37

What stage of labor is complete cervical dilation to delivery of infant?

Answer 37

2nd

Question 39

What cervical ripening drug is a vaginal insert? Can be placed vaginally or orally?

Answer 39

PGE2 - Dinoprostone PGE1 Misoprostol

Question 40

What are the major causes for postpartum hemorrhage?

Answer 40

Uterine atony - #1 Retained placenta Unrepaired vaginal laceration

Question 41

What stage of labor is true labor to complete cervical dilation?

Answer 41

1st - latent and active (dilated 4 cm) phases

Question 43

What pelvis type is round at the inlet, has a wide transverse diameter and a wide suprapubic arch? Fetal head comes through what position?

Answer 43

Gynecoid OA

Question 46

Labor is defined by regular uterine contractions occurring when and lasting how long?

Answer 46

Every 5 minutes, lasting 30-60 seconds

Question 48

Order of cardinal movements of labor?

Answer 48

``` Engagement Descent Flexion IR Extension ER Expulsion ``` EDF IEEE

Question 50

Which pelvis has a short AP and wide transverse diamter w/bispinous diameter and a wide suprapubic arch? Fetal head position?

Answer 50

Platypelloid Engages transverse diameter

Question 51

Duration of 1st stage primiparas? Multiparas?

Answer 51

6-18 hours 2-10 hours

Question 52

What stage of delivery is delivery of placenta to stabilization of pt?

Answer 52

4th

Question 53

What labor stage is delivery of infant to delivery of placenta?

Answer 53

3rd

Question 54

Leopoldo maneuver is used to assess what? How many maneuvers is it?

Answer 54

Fetal lie 4 - start w/palpating fundus and move down

Question 55

What AP diameter of pelvic inlet is adequate? Distance bw ischial tuberosities? Infrapubic angle?

Answer 55

> 11.5 8.5 cm > 90 degrees is good

Question 57

Avg circumference of fetal head?

Answer 57

34.5 cm

Question 69

Occipitofrontal is what position? cm?

Answer 69

Head deflexed, OP position 11