Normal Labor and its complications ppt
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Questions and Answers

Which of the following is NOT a symptom that may indicate chorioamnionitis?

  • Fetal tachycardia
  • Uterine tenderness
  • Foul-smelling amniotic fluid
  • Prolonged labor (correct)

    • What is a potential risk associated with chorioamnionitis?

  • Diminished uterine contractions
  • Maternal infection/sepsis/endometritis (correct)
  • Increased likelihood of drug resistance
  • Reduced fetal monitoring

    • Which condition is characterized by an abnormal progression of labor?

  • Active Labor
  • Chorioamnionitis
  • Premature Rupture of Membranes (PPROM)
  • Labor Dystocia (correct)

    • What is a recognized treatment for chorioamnionitis?

    <p>IV antibiotics</p> Signup and view all the answers

    Which risk factor is associated with an increased likelihood of developing chorioamnionitis?

    <p>Known vaginal infections/ STDs</p> Signup and view all the answers

    What characterizes the active phase of labor?

    <p>Rapid effacement and dilation occurs with increased pain</p> Signup and view all the answers

    What does 'lightening' refer to during pregnancy?

    <p>The perception accompanying engagement of the fetal head</p> Signup and view all the answers

    How is cervical effacement described?

    <p>As a percentage from 0% to 100% of pre-effacement length</p> Signup and view all the answers

    What does a fetal station of +3 indicate?

    <p>The fetal head is at the vaginal introitus, ready to be delivered</p> Signup and view all the answers

    In which stage of labor does the delivery of the placenta occur?

    <p>Third stage of labor</p> Signup and view all the answers

    How does effacement typically occur in subsequent pregnancies compared to the first delivery?

    <p>Effacement often occurs after some dilation has already begun</p> Signup and view all the answers

    Which statement is true regarding fetal head position during labor?

    <p>It is described based on the location of the fetal occiput</p> Signup and view all the answers

    What primarily drives cervical dilation during labor?

    <p>Regular and rhythmic contractions of the uterus</p> Signup and view all the answers

    What is a key characteristic of the second stage of labor?

    <p>Full dilation to delivery of the fetus</p> Signup and view all the answers

    Which of the following is not considered an instrumentation option for deliveries?

    <p>Episiotomy</p> Signup and view all the answers

    What is the main purpose of performing an episiotomy?

    <p>To facilitate immediate delivery when needed</p> Signup and view all the answers

    What degree of vaginal laceration is described as a 'carpet burn'?

    <p>1st degree</p> Signup and view all the answers

    Which of the following is an absolute indication for a cesarean section?

    <p>Cephalo-pelvic dispersion</p> Signup and view all the answers

    What is the risk associated with a classical cesarean section incision?

    <p>1%-9% risk of rupture during subsequent labor</p> Signup and view all the answers

    What complication is associated with 3rd and 4th degree vaginal lacerations?

    <p>Urinary and defecation issues</p> Signup and view all the answers

    What should be considered a contraindication for labor induction?

    <p>Placenta previa</p> Signup and view all the answers

    What is the most common fetal malpresentation during labor?

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

    Which method is NOT typically used for cervical ripening during labor induction?

    <p>Hysterectomy</p> Signup and view all the answers

    What is the expected time for placental delivery after the baby is born?

    <p>2-10 minutes</p> Signup and view all the answers

    When using synthetic prostaglandins for induction, what dosing is associated with most adverse issues?

    <p>25 mcg</p> Signup and view all the answers

    What condition might be treated using external cephalic version (ECV)?

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

    During the first stage of labor, what distinguishes the latent phase from the active phase?

    <p>Latent phase is characterized by slow dilation and early effacement.</p> Signup and view all the answers

    What defines engagement in the context of labor?

    <p>When the fetus's presenting part enters the pelvic inlet.</p> Signup and view all the answers

    How is the fetal station described during labor?

    <p>In terms of the distance from the ischial spines to the fetal head.</p> Signup and view all the answers

    What percentage of cervical effacement is considered complete?

    <p>100%</p> Signup and view all the answers

    Which statement accurately reflects the process of cervical dilation in subsequent pregnancies?

    <p>Effacement usually occurs before dilation begins in later pregnancies.</p> Signup and view all the answers

    What are the potential consequences of a 3rd or 4th degree vaginal laceration?

    <p>Ongoing urinary or defecation issues</p> Signup and view all the answers

    Which factor is NOT commonly indicated for performing a cesarean section?

    <p>Persistent labor despite strong contractions</p> Signup and view all the answers

    What is a critical consideration regarding the risk of uterine rupture with prior cesarean sections?

    <p>The risk increases with each additional incision made on the uterus</p> Signup and view all the answers

    Which of the following methods used for cervical ripening carries an increased risk of peripartum infections?

    <p>Mechanical cervical dilators</p> Signup and view all the answers

    Which scenario could justify the use of moxibustion for a breech pregnancy?

    <p>When there is sufficient amniotic fluid present</p> Signup and view all the answers

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