Labor and Delivery — Flashcards

Flashcard 51: Is uterine massage recommended according to WHO guidelines for AMTSL?_____

Answer: No

Flashcard 52: Active phase starts at _____cm cervical dilatation and progress should be no slower than 1cm/hour.

Answer: 4

Flashcard 53: Severe variable decelerations are defined as: Less than _____ beats/minute lasting at least 60 seconds.

Answer: 70

Flashcard 54: In the **WHO composite partograph**, the **active phase** of labor (and plotting on the alert line) is considered to start from _____ cm cervical dilatation onwards.

Answer: 3

Extra: In the WHO Partographs: - **WHO Composite Partograph**: The latent phase is 0-3 cm; the **active phase** (and plotting on the alert/action lines) starts at **3 cm**. - **WHO Modified Partograph**: The latent phase is removed; charting starts at **4 cm**. - **WHO Labor Care Guide (2020)**: The active phase is defined as starting at **5 cm**.

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 manoeuvre

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, charting begins at the start of the active phase, which is defined as _____ cm cervical dilation.

Answer: 4

Flashcard 60: Bishop score takes into consideration the following variables: _____

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