Labor and Delivery — Flashcards

Flashcard 101: The most common compound presentation is a _____ prolapsing alongside the head.

Answer: hand

Flashcard 102: Should you give fundal pressure in shoulder dystocia? Why?_____

Answer: No; it further impacts the anterior shoulder behind the symphysis pubis and increases the risk of uterine rupture and brachial plexus injury.

Extra: In shoulder dystocia, suprapubic pressure (Mazzanti maneuver) is indicated to help dislodge the shoulder, but fundal pressure is strictly contraindicated.

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

Answer: traction

Flashcard 105: One of the ways McRobert's manoeuvre works is by _____ the angle of pelvic inclination

Answer: decreasing

Flashcard 106: In transverse lie, the denominator is the:

Answer: Acromion (Scapula)

Flashcard 107: Mediolateral episiotomy causes _____ blood loss compared to medial episiotomy

Answer: more

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

Answer: caesarean section.

Flashcard 109: What is the most common position of the vertex at the onset of labour?_____

Answer: Left occipito-transverse

Flashcard 110: The first step in uterine inversion after resuscitating the patient is to administer _____

Answer: tocolytics