Labor and Delivery — Flashcards

Flashcard 81: Following uterine repositioning after uterine inversion, additional uterotonic agents like _____ are administered and placental expulsion is awaited

Answer: oxytocin

Flashcard 82: A cervical consistency of firm is given a score of _____ on the Bishop's score

Answer: 0

Flashcard 83: What is the earliest sign of placental separation?The uterus becomes _____ (earliest sign to appear).

Answer: globular, firm and ballottable

Flashcard 84: _____ analgesia is recommended in labour, to women with suspected or confirmed COVID-19

Answer: Epidural

Flashcard 85: On a partograph, maternal blood pressure and temperature is recorded every _____

Answer: 4 hours

Flashcard 86: On a partograph, maternal heart rate is recorded every _____

Answer: 30 mins

Flashcard 87: A _____ hour wait is recommended before intervention when the active phase is slow.

Answer: 4

Flashcard 88: Diameter of engagement is transverse or oblique in _____ pelvis

Answer: Android and gynecoid

Flashcard 89: What is the management of choice for bilateral shoulder dystocia?

Answer: Zavanelli maneuver followed by emergency cesarean section

Extra: Bilateral shoulder dystocia occurs when both the anterior and posterior shoulders are impacted at the pelvic brim. Since standard maneuvers (like McRoberts or internal rotation) are usually ineffective in this rare scenario, the Zavanelli maneuver (cephalic replacement) followed by an emergency cesarean section is the management of choice.

Flashcard 90: What is the mode of delivery for a pregnant patient with active genital HSV lesions at the onset of labor?

Answer: Cesarean section