Labor and Delivery — Flashcards

Flashcard 1: _____ decelerations are caused by mechanical compression of the umbilical cord, and managed by repositioning the mother into lateral decubitus position

Answer: Variable

Flashcard 2: What is the position of the vertex in the given image: _____

Answer: Right occipito-anterior

Flashcard 3: The given image shows _____ position of fetus:

Answer: right occipito posterior

Flashcard 4: Cervidil vaginal insert provides the release of _____ mg/hr of Prostaglandin E2

Answer: 0.3

Flashcard 5: Checklist under DAKSHATA program for Safe childbirth includes the following: _____

Answer: :)

Flashcard 6: Cephalo-pelvic disproportion (CPD) at the pelvic inlet is diagnosed when the diagonal conjugate < _____ cm.

Answer: 11.5

Flashcard 7: Stripping of membranes to induce labor elicits the _____ reflex.

Answer: Ferguson

Flashcard 8: Stripping of membranes is done _____ the artificial rupture of membranes

Answer: before

Flashcard 9: 98fda84365eb4fc0826a85021d206697-ao-1

Answer: 5 Cleans of intranatal care

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Flashcard 10: b7f53c3d9c1a480ebd32c6fcb4870663-ao-2

Answer: definition of pre term labor

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Flashcard 11: neonatal care corner is located _____

Answer: in the labor room 

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Flashcard 12: 98fda84365eb4fc0826a85021d206697-ao-4

Answer: 5 Cleans of intranatal care

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Flashcard 13: 98fda84365eb4fc0826a85021d206697-ao-2

Answer: 5 Cleans of intranatal care

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Flashcard 14: 98fda84365eb4fc0826a85021d206697-ao-5

Answer: 5 Cleans of intranatal care

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Flashcard 15: 98fda84365eb4fc0826a85021d206697-ao-3

Answer: 5 Cleans of intranatal care

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Flashcard 16: _____ maneuver is done for the delivery of extended arms in case of a breech presentation

Answer: Lovset's

Flashcard 17: _____ decelerations on CTG implies fetal hypoxia

Answer: Late

Flashcard 18: The pudendal nerve can be injured due to:- stretching during _____- saddle injury seen in cyclists

Answer: childbirth

Flashcard 19: Manual support to perineum to maintain _____ of head is recommended by WHO to prevent a perineal tear

Answer: flexion

Flashcard 20: _____ system: Classification of the pelvis

Answer: Caldwell and Moloy

Flashcard 21: The engaging diameter of the fetal skull in _____ presentation is mento-vertical.

Answer: brow

Flashcard 22: The treatment for a pregnant mother's vagina colonized by _____ is intra-partum penicillin G prophylaxis

Answer: Strep agalactiae (GBS)

Flashcard 23: _____ incision is made at 2 o'clock and 10 o'clock on the cervix

Answer: Duhrssen's

Flashcard 24: _____ is a hormone that may be used to induce labor and reduce postpartum bleeding

Answer: Oxytocin

Flashcard 25: _____ maneuver is done for assisted delivery of head in normal labor.

Answer: Ritgen

Flashcard 26: Misoprostol promotes _____ contraction and therefore may be used for induction of labor (ripens cervix)

Answer: uterine

Flashcard 27: Pregnant mothers with vaginal colonization of Streptococcus agalactiae (GBS) are given intra-_____ penicillin prophylaxis

Answer: partum

Flashcard 28: As parturition nears, the estrogen/progesterone ratio _____, which makes the uterus more sensitive to contractile stimuli

Answer: increases

Flashcard 29: _____ conjugate is derived by subtracting 1.5 - 2cm from the diagonal conjugate.

Answer: Obstetric

Flashcard 30: On a partograph, uterine contractions are recorded every _____ for a span of 10 mins

Answer: 30 mins

Flashcard 31: Episiotomy analgesia can be provided by bilateral pudendal nerve block, 2.5% _____ cream locally or local infiltration of 1% lidocaine into the fourchette, perineum, and vagina

Answer: EMLA

Flashcard 32: Page's classification of Abruption:In grade _____, fetal death is present

Answer: 3

Flashcard 33: Dinoprostone, a _____ analog, is used to promote uterine contractions for the purpose of inducing labor or abortion

Answer: (PGE2)

Flashcard 34: Side effects of Misoprost during labour induction:-Uterine _____-Meconium stained amniotic fluid-Uterine rupture

Answer: tachysystole

Flashcard 35: Acceleration on cardiotocography refers to transient increase in FHR by _____ bpm or more lasting for at least 15 seconds

Answer: 15

Flashcard 36: The fetal presentation in a _____ lie is shoulder presentation.

Answer: transverse

Flashcard 37: Deceleration on cardiotocography refers to transient decrease in FHR by _____ bpm or more lasting for at least 15 seconds

Answer: 15

Flashcard 38: Cervidil vaginal insert provides the release of _____ mg/hr of Prostaglandin E2

Answer: 0.3

Flashcard 39: McRobert's manoeuvre consists of forceful _____ and flexion of the maternal hips

Answer: abduction

Flashcard 40: The engaging diameter of the fetal skull in _____ presentation is submento-bregmatic

Answer: face

Flashcard 41: _____ maneuver is done by intrauterine manipulation to convert a frank breech to a footing breech

Answer: Pinard s

Flashcard 42: The engaging diameter of the fetal skull in _____ presentation is occipitofrontal

Answer: deflexed vertex

Flashcard 43: In modified Bishop's score, _____ is replaced by cervical length

Answer: effacement of cervix

Flashcard 44: The engaging diameter of the fetal skull in _____ presentation is suboccipito-bregmatic

Answer: vertex

Flashcard 45: In the _____ partograph, there is no plotting of the latent phase and is only plotted once the active phase begins

Answer: modified

Flashcard 46: During placental separation, slight _____ bulging is seen due to separated placenta distending the lower segment.

Answer: suprapubic

Flashcard 47: The most common cause of transverse lies is _____ whereas the most common cause of transverse lies in term pregnancy is placenta previa

Answer: prematurity

Flashcard 48: Page's classification of Abruption:In grade _____, fetal distress is present

Answer: 2

Flashcard 49: Classical _____ pattern on CTG is characterised by a tonic contraction lasting several minutes with distinctly raised intrauterine pressure and a consequent fall in fetal heart rate

Answer: hyperstimulation

Flashcard 50: A cervical dilation of 3-4 is given a score of _____ on the Bishop's score

Answer: 2

Flashcard 51: Severe variable decelerations are defined as: Less than _____ beats/minute lasting at least 60 seconds.

Answer: 70

Flashcard 52: On a WHO composite partograph, latent phase and charting is started from _____cm onwards

Answer: 3

Flashcard 53: Is uterine massage recommended according to WHO guidelines for AMTSL?_____

Answer: No

Flashcard 54: Active phase starts at _____cm cervical dilatation and progress should be no slower than 1cm/hour.

Answer: 4

Flashcard 55: WHO guidelines for AMTSL include postpartum abdominal _____ assessment for early identification of uterine atony

Answer: uterine tonus

Flashcard 56: What is the second line of management in shoulder dystocia?_____

Answer: Wood's corkscrew manouvre

Flashcard 57: On a partograph, fetal heart rate is recorded every _____

Answer: 30 mins

Flashcard 58: A cervical position of anterior is given a score of _____ on the Bishop's score

Answer: 2

Flashcard 59: On a WHO modified partograph, latent phase and charting is started from _____cm onwards

Answer: 4

Flashcard 60: Prolonged deceleration on cardiotocography is the abrupt decrease in FHR to levels below the baseline and it lasts > _____ min but

Answer: 2

Flashcard 61: Bishop score takes into consideration the following variables: _____

Answer: Dilatation, cervical Length, consistency, position and head station (5 CPS-LD)

Flashcard 62: Labor is called a precipitate when the combined duration of the first and second stages is less than _____ hours

Answer: 3

Flashcard 63: Neonatal _____ status evaluates fetal condition during labor.

Answer: acid-base

Flashcard 64: A head station of -1 is given a score of _____ on the Bishop's score

Answer: 2

Flashcard 65: The fourth stage of labour is a stage of observation for at least _____ after the full expulsion of the placenta.

Answer: an hour

Flashcard 66: Episiotomy incision is given _____ crowning.

Answer: just before (timing)

Flashcard 67: On pushing the uterus upwards does not move the cord with it due to placental separation (sign of placental separation): _____ sign

Answer: Kustner's

Flashcard 68: If the shoulder of the fetus is to the mother's right, and the back is anterior., the fetus is in _____ position

Answer: right acromiodorsoanterior

Flashcard 69: WHO guidelines for AMTSL include administration of prophylactic uterotonic (oxytocin) within _____ min(s) of delivery

Answer: 1

Flashcard 70: What type of pelvis is associated with a higher incidence of face to pubis delivery?_____

Answer: Anthropoid

Flashcard 71: What is the treatment of choice for cord prolapse?_____

Answer: Cesarean section

Flashcard 72: Slowing of fetal heart rate on pressing the head down into the pelvis and prompt recovery on the release of pressure is termed _____ sign

Answer: Stallworthys

Flashcard 73: An extremity (eg. hand) that prolapses alongside the presenting part is called _____ presentation

Answer: compound

Flashcard 74: Diameter of engagement is anteroposterior in _____ pelvis

Answer: anthropoid

Flashcard 75: Sinusoidal pattern on cardiotocography has a stable baseline FHR with fixed or absent baseline variability lasting > _____ min, and absent accelerations

Answer: 20

Flashcard 76: Internal rotation of fetal head occurs at the level of _____

Answer: ischial spine.

Flashcard 77: Bishop score is considered favourable when it is _____ or more according to Williams Obstetrics

Answer: 9

Flashcard 78: Pseudosinusoidal pattern on cardiotocography is seen when _____ are given to the mother

Answer: narcotics

Flashcard 79: In case of a COVID-19 confirmed case, maternal observations and assessment during labour should be continued as per standard practice, with the addition of _____ monitoring.

Answer: hourly oxygen saturation

Flashcard 80: Is active genital herpes a contraindication to labour induction?_____

Answer: Yes (Relative)

Flashcard 81: What is the earliest sign of placental separation?The uterus becomes _____ (earliest sign to appear).

Answer: globular, firm and ballottable

Flashcard 82: Following uterine repositioning after uterine inversion, additional uterotonic agents like _____ are administered and placental expulsion is awaited

Answer: oxytocin

Flashcard 83: A cervical consistency of firm is given a score of _____ on the Bishop's score

Answer: 0

Flashcard 84: On a partograph, maternal blood pressure and temperature is recorded every _____

Answer: 4 hours

Flashcard 85: _____ analgesia is recommended in labour, to women with suspected or confirmed COVID-19

Answer: Epidural

Flashcard 86: A _____ hour wait is recommended before intervention when the active phase is slow.

Answer: 4

Flashcard 87: Diameter of engagement is transverse or obique in _____ pelvis

Answer: android and gynecoid

Flashcard 88: On a partograph, maternal heart rate is recorded every _____

Answer: 30 mins

Flashcard 89: What should you do in a case of bilateral shoulder dystocia?_____

Answer: Directly proceed to perform cesarean section after doing Zavanelli manouvre

Flashcard 90: What is the mode of delivery in a pregnant patient with HSV-2 infection?_____

Answer: Cesarean section

Flashcard 91: The appearance of the amniotic fluid on the degree of cloudiness and on the number of flakes is expressed by _____.

Answer: macroscore

Flashcard 92: Brow presentation and mento_____ position cannot be delivered vaginally.

Answer: posterior

Flashcard 93: Rupture of membranes in chorioamnionitis can be tested by _____ test

Answer: nitrazine

Flashcard 94: Is oligohydramnios a contraindication to labour induction?_____

Answer: No

Flashcard 95: On a partograph, vaginal examination is done every _____

Answer: 4 hourly

Flashcard 96: _____ ring: Constriction ring/contraction ring formed due to incoordinate uterine action.

Answer: Schroeder's

Flashcard 97: The dose of Prostaglandin E1 (Misoprost) in induction of labor is _____mcg

Answer: 25

Flashcard 98: A cervical effacement of 45% is given a score of _____ on the Bishop's score

Answer: 1

Flashcard 99: One of the ways McRobert's manoeuvre works is by rotating the symphysis pubis _____ the maternal head

Answer: towards

Flashcard 100: WHO guidelines for AMTSL include _____ cord clamping

Answer: delayed (early/delayed)

Flashcard 101: In transverse lie, the _____ of the baby is the denominatior

Answer: back

Flashcard 102: WHO guidelines for AMTSL include controlled cord _____ during placental delivery

Answer: traction

Flashcard 103: What is the first aid to be given for cord prolapse if immediate safe vaginal delivery is not possible?_____

Answer: Bladder filling and posture change

Flashcard 104: Mediolateral episiotomy causes _____ blood loss compared to medial episiotomy

Answer: more

Flashcard 105: The most common compound presentation is a _____ prolapsing alongside the head.

Answer: hand

Flashcard 106: Should you give fundal pressure in shoulder dystocia? Why?_____

Answer: No

Flashcard 107: One of the ways McRobert's manoeuvre works is by _____ the angle of pelvic inclination

Answer: decreasing

Flashcard 108: Management of 1st twin with the transverse lie is _____

Answer: caesarean section.

Flashcard 109: The first step in uterine inversion after resuscitating the patient is to administer _____

Answer: tocolytics

Flashcard 110: What is the most common position of the vertex at the onset of labour?_____

Answer: Left occipito-transverse

Flashcard 111: According to Johnson's formula:fetal weight (if head station is below ischial spine)= _____ in grams

Answer: [Height of uterus above pubic symphysis (in cm)-11] x 155

Flashcard 112: In a case of shoulder dystocia, what is the first line of management?_____

Answer: Give McRobert's manouvre

Flashcard 113: What is the management of compound presentation?_____

Answer: Expectant management with observation

Flashcard 114: One of the ways McRobert's manoeuvre works is by _____ the sacrum relative to the lumbar vertebrae

Answer: straightening

Flashcard 115: Delivery by early _____ is to be avoided to prevent perineal lacerations during childbirth

Answer: extension

Flashcard 116: A transverse lie is managed by _____

Answer: caesarean section.

Flashcard 117: Uterus rises up when the separated placenta is passed downwards (sign of placental separation): _____ sign

Answer: Schroder's

Flashcard 118: Uterine tachysystole is defined as >_____ contractions in a _____ min period

Answer: 5; 10

Flashcard 119: Leopold s _____ i.e. _____ grip is used to assess fetal lie.

Answer: 1; fundal

Flashcard 120: Predictors of preterm labor are:Uterine contractions e_____/hrBishop score e 4Cervical length (TVS) d _____ mm

Answer: 4; 25

Flashcard 121: In the _____ method of placental separation, _____ surface of the placenta appears first at the vulva.

Answer: Schultze; fetal

Flashcard 122: Breech fetus in a _____ presentation at term, is an indication for cesarean section.

Answer: footling

Flashcard 123: _____ diameter is engaging diameter in a marked deflexion attitude of the head.

Answer: Occipitofrontal

Flashcard 124: _____ decelerations are caused by mechanical compression of the umbilical cord, and managed by repositioning the mother into lateral decubitus position

Answer: Variable

Flashcard 125: Expectant management with _____ alone is sufficient for Compound presentation

Answer: observation

Flashcard 126: Stripping of membranes is done _____ the artificial rupture of membranes

Answer: before::before/after

Flashcard 127: VBAC can_____ be considered in case of a previous lower segment cesarean scar.

Answer:

Flashcard 128: When the first twin is cephalic and the second is non-cephalic, the following methods can be used:_____ of the second twinC-section of both twinsAn _____ version of the second twinRarely, cesarean section of the second twin following vaginal delivery of the first

Answer: Breech extraction; external cephalic

Flashcard 129: In the _____ method of placental separation, _____ surface of the placenta appears first at the vulva.

Answer: Schultze; fetal

Flashcard 130: Stripping of membranes to induce labor elicits the _____ reflex.

Answer: Ferguson

Flashcard 131: Cephalo-pelvic disproportion (CPD) at the pelvic inlet is diagnosed when the diagonal conjugate _____ cm.

Answer: 11.5

Flashcard 132: _____ method is used in cord prolapse to alleviate pressure on the cord

Answer: Vago's

Flashcard 133: _____ method is used for replacing the uterus in case of uterine inversion.

Answer: O Sullivan's