Normal Labour

Question 1

Braxton-Hicks

Answer 1

False labor pair

Question 2

Naegele’s formula key points

Answer 2

The key points are menstrual cycle of 28
days and the gestational period of 280
days.

Based on reliaple LMP

Question 3

Naegele’s formula

Answer 3

LMP: d/ m / y
EDD: +7-3+1
LMP: d/ m/ y
EDD: +7/+9/.

Question 4

Diagnosis of labor

Answer 4

3 Symptoms:
True labor pains.
Show (blood stained mucous).
ROM.
3 Signs:
Palpable or recorded uterine contraction.
Effacement and dilation of the cervix.
Formation of bag of forewater.

Question 5

1st stage duration

Answer 5

6-18 in primi
2-10 in multi

Question 6

Friedman curve stages

Answer 6

• Latent (0-3cm cervical dilatation)
• Active (4 – 10 cm cervical dilatation)

Question 7

Plane of least pelvic dimension

Answer 7

Interspinous (10.5cm)

Question 8

Uterine contraction
1- frequency
2 duration
3-amplitude

Answer 8

1-3-5 /10min
2-40-60sec
3-40- 60 mm Hg

Question 9

Pace maker of uterus

Answer 9

Rt utero-tubal junction

Question 10

Ferguson reflex

Answer 10

Pr. Of head on cervex →oxytocin ↑ from pit

Question 11

Mechanisms of placental separation

Answer 11

1) Schultz 80% (central → inverted umbrella )
.Duncan 20% (separation of lower part )

Question 12

Signs of placental decent

Answer 12

↑ fundal level
Supra pupic bulge

Question 13

Nüteßuch layer

Answer 13

Fimbranous layer of decidua inhibit morbidly adherence

Question 14

Signs of placental.. Separation

Answer 14

Gush of vaginal blood
Elongation of cord

Question 15

Mendson $

Answer 15

Chemical pnuemonitis duo to reflux during labor

Question 16

(Ritgen maneuver

Answer 16

) Then allow gradual controlled extension in-between contractions

Question 17

Methergine(giver after placental delivery in conservative method )
CI

Answer 17

Pet ,cardiac patient