Normal Labour & Puerperium

Frage 1 von 36

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Oxytocin ( encourages, discourages ) uterine contractions
Progesterone ( discourages, encourages ) uterine contractions
Oestrogen ( encourages, discourages ) uterine contractions

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Frage 2 von 36

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Release of which hormone prompts the release of prostaglandins, thus initiating labour?

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Frage 3 von 36

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Which hormone specifically initiates and sustains contractions?

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Frage 4 von 36

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Another term for the amniotic fluid is the

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Frage 5 von 36

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The release of Oxytocin in response to cervical stretching thus encouraging uterine contractions and childbirth is known as the reflex

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Frage 6 von 36

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A woman stating that her water has broken is referring to the rupture of her sac

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Frage 7 von 36

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A woman stating that her "water has broken" or "membranes have ruptured" is referring to the rupture of her sac

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Frage 8 von 36

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If a baby is born 'in a caul', what does this mean?

Wähle eine der folgenden:

It was born without the amniotic sac rupturing
It was born with the umbilical cord having naturally severed
It was born feet first
It started to breathe before fully leaving the mother's uterus

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Frage 9 von 36

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What score is used to determine whether or not a medical induction of labour will be required?
The Score

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Frage 10 von 36

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What type of labour is advised if a woman's Bishop score is high?

Wähle eine der folgenden:

Spontaneous labour
Induced labour

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Frage 11 von 36

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Induced labour is advised if a woman's Bishop score is ( low, high )

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Frage 12 von 36

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There are ( 3, 2, 4 ) defined stages of labour

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Frage 13 von 36

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The first stage of labour is broken up into two sections:
❌ = Mild, irregular uterine contractions, cervix shortens and softens, may last a few days
❌ = 4cm cervical dilation to full dilation (approx 10cm), contractions become more rhythmic and stronger

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Active phase

Inactive phase

Latent phase

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Frage 14 von 36

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The phase of the first stage of labour whereby a woman progressively dilates her cervix from 4 to 10 centimetres is known as the phase.

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Frage 15 von 36

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Second stage of Labour: ❌
Third stage of Labour: ❌

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Cervix 10cm dilated --> Baby delivery

Cervix 10cm dilated --> Baby engagement

Baby delivery --> Delivery of placenta

Engagement of baby --> Delivery of baby

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Frage 16 von 36

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On average, labour lasts ( 10 hours, 4 hours, 20 hours, 16 hours )

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Frage 17 von 36

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Braxton-Hicks Contractions usually indicate the initiation of labour.

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 18 von 36

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When considering the birth of a child from its mother's uterus, what are the three Ps?
e.g. Contractions
e.g. Maternal Pelvis
e.g. The foetus

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Frage 19 von 36

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In order to increase the power of a woman's contractions, which hormone could be given as a medication?
Synthetic

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Frage 20 von 36

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At which stage of labour is the baby delivered?

Wähle eine der folgenden:

First stage of labour
Second stage of labour
Third stage of labour

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Frage 21 von 36

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During labour, contractions become ( more, less ) frequent and of a ( longer, shorter ) duration

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Frage 22 von 36

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A baby is normally delivered in which position?

Wähle eine der folgenden:

Occipito-anterior
Anterior-occipital
Occipito-transverse

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Frage 23 von 36

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A cephalic presentation is the normal type of presentation in labour

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 24 von 36

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Arrange the analgesia options for birth from least to most effective
❌
❌
❌
❌
❌
❌
❌

TENS = Transcutaneous Electrical Nerve Stimulation
Entonox = Mixture of Oxygen+Nitrous Oxide

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Combined spinal/epidural

Remifentanil

Epidural

Diamorphine

Entonox

TENS

Paracetamol/ Co-codamol

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Frage 25 von 36

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Arrange the 7 cardinal movements of labour from 1-7:
1…❌
2…❌
3…❌
4…❌
5…❌
6…❌
7…❌

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Engagement

Flexion

Decent

Internal Rotation

Restitution and external rotation

Crowning and extension

Expulsion (ant. shoulder first)

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Frage 26 von 36

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Engagement:
The foetal head is said to be engaged when the widest diameter of the the foetal head has entered the pelvic inlet. This is also described as ( 3 fifths, 2 fifths ) of the
fetal head having entered the pelvis and ( 2 fifths, 3 fifths ) still being felt abdominally

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Frage 27 von 36

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The umbilical cord should be clamped as soon as possible following birth.

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 28 von 36

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Delayed cord clamping should be conducted following birth, with the cord being clamped at around ( 3, 7, 10 ) minutes

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Frage 29 von 36

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Skin-to-skin contact between mother and child is advised immediately following birth and for around 1 hour after in order to increase the oxytocin released by the mother which increases the likelihood of breastfeeding success.

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 30 von 36

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Expulsion of the placenta usually occurs around ( 5-10 minutes, 20-30 minutes ) following delivery however is considered normal as long as it is delivered within ( 30 minutes, 1 hour )

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Frage 31 von 36

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Which two hormones are directly involved in the production and expulsion of breastmilk?
Production -
Expulsion via musculature -

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Frage 32 von 36

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Normal blood loss during delivery is ( less than 250ml, less than 500ml, less than 750ml, less than 1000ml ). Anything more than this is considered abnormal.

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Frage 33 von 36

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The period following childbirth whereby a woman's reproductive organs return to their normal state is known as the

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Frage 34 von 36

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The Puerperium typically lasts for around ( 6 weeks, 2 weeks, 12 weeks )

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Frage 35 von 36

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Bloodstained discharge is completely normal for around 14 days following birth and a mother should thus not worry about this.

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 36 von 36

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The first breast milk produced by the mother is rich in immunoglobulins to provide the baby with secondary immunoprotection. This first breast milk is known as the

	Erstellt von Matthew Coulson vor etwa 6 Jahre

Normal Labour & Puerperium lecture given on the monday of week 4

Normal Labour & Puerperium

Frage 1 von 36

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Oxytocin encourages discourages( encourages, discourages ) uterine contractions Progesterone discourages encourages( discourages, encourages ) uterine contractions Oestrogen encourages discourages( encourages, discourages ) uterine contractions

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Frage 2 von 36

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Release of which hormone prompts the release of prostaglandins, thus initiating labour?

Erklärung

Frage 3 von 36

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Which hormone specifically initiates and sustains contractions?

Erklärung

Frage 4 von 36

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Another term for the amniotic fluid is the

Erklärung

Frage 5 von 36

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The release of Oxytocin in response to cervical stretching thus encouraging uterine contractions and childbirth is known as the reflex

Erklärung

Frage 6 von 36

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A woman stating that her water has broken is referring to the rupture of her sac

Erklärung

Frage 7 von 36

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A woman stating that her "water has broken" or "membranes have ruptured" is referring to the rupture of her sac

Erklärung

Frage 8 von 36

If a baby is born 'in a caul', what does this mean?

Wähle eine der folgenden:

Erklärung

Frage 9 von 36

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What score is used to determine whether or not a medical induction of labour will be required? The Score

Erklärung

Frage 10 von 36

What type of labour is advised if a woman's Bishop score is high?

Wähle eine der folgenden:

Erklärung

Frage 11 von 36

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Induced labour is advised if a woman's Bishop score is low high( low, high )

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Frage 12 von 36

Wähle von der Aufklappliste, um den Text zu vervollständigen.

There are 3 2 4( 3, 2, 4 ) defined stages of labour

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Frage 13 von 36

The first stage of labour is broken up into two sections: ❌ = Mild, irregular uterine contractions, cervix shortens and softens, may last a few days ❌ = 4cm cervical dilation to full dilation (approx 10cm), contractions become more rhythmic and stronger

Klicke und ziehe, um den Text zu vervollständigen.

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Frage 14 von 36

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The phase of the first stage of labour whereby a woman progressively dilates her cervix from 4 to 10 centimetres is known as the phase.

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Frage 15 von 36

Second stage of Labour: ❌ Third stage of Labour: ❌

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Frage 16 von 36

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On average, labour lasts 10 hours 4 hours 20 hours 16 hours( 10 hours, 4 hours, 20 hours, 16 hours )

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Frage 17 von 36

Braxton-Hicks Contractions usually indicate the initiation of labour.

Wähle eins der folgenden:

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Frage 18 von 36

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When considering the birth of a child from its mother's uterus, what are the three Ps? e.g. Contractions e.g. Maternal Pelvis e.g. The foetus

Erklärung

Frage 19 von 36

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In order to increase the power of a woman's contractions, which hormone could be given as a medication? Synthetic

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Frage 20 von 36

At which stage of labour is the baby delivered?

Oxytocin ( encourages, discourages ) uterine contractions
Progesterone ( discourages, encourages ) uterine contractions
Oestrogen ( encourages, discourages ) uterine contractions

What score is used to determine whether or not a medical induction of labour will be required?
The Score

Induced labour is advised if a woman's Bishop score is ( low, high )

There are ( 3, 2, 4 ) defined stages of labour

The first stage of labour is broken up into two sections:
❌ = Mild, irregular uterine contractions, cervix shortens and softens, may last a few days
❌ = 4cm cervical dilation to full dilation (approx 10cm), contractions become more rhythmic and stronger

Second stage of Labour: ❌
Third stage of Labour: ❌

On average, labour lasts ( 10 hours, 4 hours, 20 hours, 16 hours )

When considering the birth of a child from its mother's uterus, what are the three Ps?
e.g. Contractions
e.g. Maternal Pelvis
e.g. The foetus

In order to increase the power of a woman's contractions, which hormone could be given as a medication?
Synthetic

During labour, contractions become ( more, less ) frequent and of a ( longer, shorter ) duration

Arrange the analgesia options for birth from least to most effective
❌
❌
❌
❌
❌
❌
❌

TENS = Transcutaneous Electrical Nerve Stimulation
Entonox = Mixture of Oxygen+Nitrous Oxide

Arrange the 7 cardinal movements of labour from 1-7:
1…❌
2…❌
3…❌
4…❌
5…❌
6…❌
7…❌

Delayed cord clamping should be conducted following birth, with the cord being clamped at around ( 3, 7, 10 ) minutes

Expulsion of the placenta usually occurs around ( 5-10 minutes, 20-30 minutes ) following delivery however is considered normal as long as it is delivered within ( 30 minutes, 1 hour )

Which two hormones are directly involved in the production and expulsion of breastmilk?
Production -
Expulsion via musculature -

Normal blood loss during delivery is ( less than 250ml, less than 500ml, less than 750ml, less than 1000ml ). Anything more than this is considered abnormal.

The Puerperium typically lasts for around ( 6 weeks, 2 weeks, 12 weeks )