Delivery Methods in Different Scenarios Quiz
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Questions and Answers

What is the recommended weight for a non-diabetic mom's delivery?

  • 5,000g (correct)
  • 3,500g
  • 4,500g
  • 6,000g

    • What is the recommended weight for a diabetic mom's delivery?

  • 6,500g
  • 5,500g
  • 4,000g
  • 4,500g (correct)

    • When is a c-section recommended according to the text?

  • The text does not define when a c-section is recommended (correct)
  • When the mom is diabetic
  • When the baby is too small
  • When the baby's head is too big

    • What should you do if you need to push the baby's head up?

    <p>Push back on the clavicle, not down</p> Signup and view all the answers

    What is a potential problem with pushing the baby's head down?

    <p>It can puncture the lung</p> Signup and view all the answers

    What is the primary action of the Woods Screw maneuver during a complicated delivery?

    <p>Rotating the fetus by exerting pressure on the posterior shoulder</p> Signup and view all the answers

    In what scenario would a midwife decide to proceed with the Zavanelli maneuver?

    <p>When all primary and ancillary maneuvers have failed in managing shoulder dystocia</p> Signup and view all the answers

    What does performing a symphysiotomy involve in obstetrics?

    <p>Cutting the symphysis pubis</p> Signup and view all the answers

    What is the common misconception about pushing down during delivery in cases of shoulder dystocia?

    <p>It prevents lung puncture in the baby</p> Signup and view all the answers

    What is a potential consequence of pushing the baby's head back into the birth canal during delivery?

    <p>Injuring maternal structures</p> Signup and view all the answers

    What is a characteristic feature of 'turtle sign' during childbirth?

    <p>Signifies imminent shoulder dystocia</p> Signup and view all the answers

    When is an emergency cesarean section without repositioning the baby's head typically performed?

    <p>When shoulder dystocia occurs during labor</p> Signup and view all the answers

    What is the significance of the 'turtle sign' during childbirth?

    <p>It suggests the presence of shoulder dystocia.</p> Signup and view all the answers

    What maternal injury risk is associated with shoulder dystocia?

    <p>Perineal tears</p> Signup and view all the answers

    In which scenario is a cesarean delivery recommended?

    <p>Non-reassuring fetal status with no progress in labor</p> Signup and view all the answers

    What does the 'all-fours maneuver' involve?

    <p>Placing the woman on her hands and knees for delivery</p> Signup and view all the answers

    Which factor is NOT considered for estimating fetal weight at term?

    <p>Fetal heart rate variability</p> Signup and view all the answers

    What is a common misconception about the 'turtle sign'?

    <p>It indicates a straightforward delivery process.</p> Signup and view all the answers

    Why is the 'turtle sign' concerning during childbirth?

    <p>It suggests potential fetal distress.</p> Signup and view all the answers

    In which situation is a c-section NOT usually recommended?

    <p>In cases of multiple gestations</p> Signup and view all the answers

    What is the primary purpose of the McRoberts maneuver during shoulder dystocia?

    <p>To facilitate delivery by widening the pelvic outlet</p> Signup and view all the answers

    Which of the following statements about shoulder dystocia is accurate?

    <p>It is a complication that can occur in any delivery</p> Signup and view all the answers

    What is the recommended course of action for a non-diabetic woman carrying a fetus with an estimated weight of 5,500 g?

    <p>Consider elective cesarean delivery</p> Signup and view all the answers

    What is the significance of the 'turtle sign' during childbirth?

    <p>It indicates the presence of shoulder dystocia</p> Signup and view all the answers

    Which of the following is NOT a recommended practice for managing shoulder dystocia?

    <p>Attempting the Zavanelli maneuver as the first step</p> Signup and view all the answers

    What is the estimated fetal weight threshold for considering elective cesarean delivery in women with gestational diabetes?

    <p>4,500 g</p> Signup and view all the answers

    Which of the following is a potential maternal injury associated with shoulder dystocia?

    <p>Perineal lacerations</p> Signup and view all the answers

    What is the recommended practice for improving team communication and maneuver use during shoulder dystocia?

    <p>Conducting regular drills and simulations</p> Signup and view all the answers

    What is the primary purpose of estimating fetal weight at term in relation to shoulder dystocia?

    <p>To serve as a screening tool for assessing the risk of shoulder dystocia</p> Signup and view all the answers

    Which of the following maternal injuries is NOT associated with aggressive hyperflexion of the maternal legs during shoulder dystocia?

    <p>Perineal tears</p> Signup and view all the answers

    What is the significance of the 'turtle sign' during childbirth?

    <p>It signifies that the fetus is experiencing shoulder dystocia</p> Signup and view all the answers

    According to ACOG, what is the recommended weight limit for considering a cesarean delivery in a non-diabetic mother?

    <p>5000 grams</p> Signup and view all the answers

    What is the term used to describe a fetus that is of appropriate size for its gestational age?

    <p>AGA (Appropriate for Gestational Age)</p> Signup and view all the answers

    Which of the following statements is true regarding the prediction of shoulder dystocia based on estimated fetal weight?

    <p>Shoulder dystocia can occur even in babies with normal weight</p> Signup and view all the answers

    According to ACOG, what is the recommended weight limit for considering a cesarean delivery in a diabetic mother?

    <p>4500 grams</p> Signup and view all the answers

    Which of the following maneuvers is commonly used to resolve shoulder dystocia during delivery?

    <p>Maneuverable technique</p> Signup and view all the answers

    What is the primary reason cited by ACOG for not recommending labor induction or cesarean delivery solely based on suspected macrosomia?

    <p>Current methods of estimating fetal weight are imprecise</p> Signup and view all the answers

    What is the primary purpose of external cephalic version (ECV) in managing breech delivery?

    <p>To rotate the fetus from a breech to head-down position</p> Signup and view all the answers

    What distinguishes a footling breech presentation from other types of breech presentations?

    <p>One or both feet in the pelvis</p> Signup and view all the answers

    What is a common complication associated with compound breech presentations?

    <p>Awkward positioning of the fetus</p> Signup and view all the answers

    When should cesarean sections be considered for breech presentations?

    <p>When there are signs of fetal distress</p> Signup and view all the answers

    Which maneuver involves using ultrasound guidance to manually rotate the fetus to a head-down position?

    <p>Internal version</p> Signup and view all the answers

    In which breech presentation type are both hips flexed, and one or both feet may be extended or flexed?

    <p><strong>Frank Breech</strong></p> Signup and view all the answers

    Which factor influences the decision to perform a cesarean section for breech presentation?

    <p>Fetal presentation</p> Signup and view all the answers

    What can be challenging about managing compound breech presentations?

    <p>Inadequate pelvic size</p> Signup and view all the answers

    In what cases should cesarean sections for breech presentations be considered?

    <p>Signs of fetal distress</p> Signup and view all the answers

    Which of the following is NOT a risk associated with planned vaginal breech delivery?

    <p>Reduced risk of respiratory distress syndrome</p> Signup and view all the answers

    Which type of breech presentation poses the highest risk during delivery?

    <p>Footling breech (one foot or both feet first)</p> Signup and view all the answers

    What is the primary reason for considering a cesarean section for breech presentation?

    <p>All of the above</p> Signup and view all the answers

    Which of the following maneuvers is commonly used to manage breech delivery?

    <p>McRoberts maneuver</p> Signup and view all the answers

    Which of the following statements regarding breech delivery is TRUE?

    <p>Understanding associated risks is crucial for optimal outcomes</p> Signup and view all the answers

    Which of the following birth injuries is NOT commonly associated with planned vaginal breech delivery?

    <p>Placental abruption</p> Signup and view all the answers

    Which of the following factors is NOT typically considered when deciding whether to attempt a vaginal breech delivery?

    <p>Maternal history of previous cesarean section</p> Signup and view all the answers

    Which of the following statements regarding breech delivery is FALSE?

    <p>It is always associated with a higher risk of complications</p> Signup and view all the answers

    Which of the following neurodevelopmental disorders has been linked to breech delivery?

    <p>Cerebral palsy</p> Signup and view all the answers

    What is the recommended course of action for a breech presentation in a woman with gestational diabetes?

    <p>Proceed with an elective cesarean section</p> Signup and view all the answers

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