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

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Matthew Coulson
Created by Matthew Coulson almost 6 years ago
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Normal Labour & Puerperium

Question 1 of 36

1

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

Explanation

Question 2 of 36

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

Explanation

Question 3 of 36

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Which hormone specifically initiates and sustains contractions?

Explanation

Question 4 of 36

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Another term for the amniotic fluid is the

Explanation

Question 5 of 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

Explanation

Question 6 of 36

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

Explanation

Question 7 of 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

Explanation

Question 8 of 36

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

Select one of the following:

  • 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

Explanation

Question 9 of 36

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

Explanation

Question 10 of 36

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

Select one of the following:

  • Spontaneous labour

  • Induced labour

Explanation

Question 11 of 36

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

Explanation

Question 12 of 36

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

Explanation

Question 13 of 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

Explanation

Question 14 of 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.

Explanation

Question 15 of 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

Explanation

Question 16 of 36

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

Explanation

Question 17 of 36

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Braxton-Hicks Contractions usually indicate the initiation of labour.

Select one of the following:

  • True
  • False

Explanation

Question 18 of 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

Explanation

Question 19 of 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

Explanation

Question 20 of 36

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At which stage of labour is the baby delivered?

Select one of the following:

  • First stage of labour

  • Second stage of labour

  • Third stage of labour

Explanation

Question 21 of 36

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

Explanation

Question 22 of 36

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A baby is normally delivered in which position?

Select one of the following:

  • Occipito-anterior

  • Anterior-occipital

  • Occipito-transverse

Explanation

Question 23 of 36

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A cephalic presentation is the normal type of presentation in labour

Select one of the following:

  • True
  • False

Explanation

Question 24 of 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

Explanation

Question 25 of 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)

Explanation

Question 26 of 36

1

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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

Explanation

Question 27 of 36

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

Select one of the following:

  • True
  • False

Explanation

Question 28 of 36

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

Explanation

Question 29 of 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.

Select one of the following:

  • True
  • False

Explanation

Question 30 of 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 )

Explanation

Question 31 of 36

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

Explanation

Question 32 of 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.

Explanation

Question 33 of 36

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

Explanation

Question 34 of 36

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

Explanation

Question 35 of 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.

Select one of the following:

  • True
  • False

Explanation

Question 36 of 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

Explanation