Quiz on Mechanism of Labour Order

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Questions and Answers

What is the purpose of the ALARM acronym in midwifery care?

  • To adduct anterior shoulder and continue with chest compressions
  • To manually deliver posterior arm and check for visible hand/arm at the perineum
  • To apply suprapubic pressure and roll over hands and knees
  • To call for help and lift legs during delivery (correct)

In the context of the ALARM acronym, what does 'McRoberts Maneuver' refer to?

  • Manually delivering the posterior arm
  • Hyperflexing thighs (correct)
  • Asking for help and lifting legs
  • Applying suprapubic pressure

What is the recommended action in the NRP flow chart if a patient's heart rate is 45 bpm after 30 seconds of chest compression and positive pressure ventilation?

  • Perform endotracheal intubation
  • Continue with chest compressions and positive pressure ventilation (correct)
  • Initiate hypothermia protocol
  • Administer epinephrine

Which of the following factors are associated with Shoulder Dystocia?

<p>Poorly controlled diabetes and large fetus (C)</p> Signup and view all the answers

What is the primary role of midwives in out-of-hospital ante/intra/postpartum care?

<p>To provide primary health care and be the highest medical authority present (D)</p> Signup and view all the answers

According to the NRP flow chart, what should be done if a patient's heart rate is less than or equal to 60 bpm after 30 seconds of positive pressure ventilation with room air?

<p>Begin chest compressions (D)</p> Signup and view all the answers

What is the first step to manage a shoulder dystocia during childbirth?

<p>30 seconds of positive pressure ventilation using 100% O2 (D)</p> Signup and view all the answers

According to the ALARM acronym used in childbirth emergencies, what does 'A' stand for?

<p>Ask for help (C)</p> Signup and view all the answers

In a situation where a baby is born at home and shows signs of cyanosis, weak cry, and irregular respirations, what should be the immediate response based on NRP flow chart?

<p>30 seconds of positive pressure ventilation using 100% O2 (A)</p> Signup and view all the answers

Which vital sign is commonly assessed to determine newborn well-being using the APGAR score?

<p>Heart rate (C)</p> Signup and view all the answers

What are three measures in midwifery care that can help prevent complications during childbirth?

<p>Encouraging early breastfeeding (C)</p> Signup and view all the answers

Why are neonates and infants predominantly nose breathers?

<p>Due to a relatively weak diaphragm (B)</p> Signup and view all the answers

According to the Neonatal Resuscitation Program (NRP) flow chart, what is the appropriate next step if a newborn has a heart rate less than 100 bpm after 30 seconds of positive pressure ventilation with oxygen?

<p>Continue positive pressure ventilation for another 30 seconds with oxygen (A)</p> Signup and view all the answers

In the context of midwifery care, which of the following correctly represents the order of events during the mechanism of labor?

<p>Descent, flexion, internal rotation, restitution, extension, expulsion (A)</p> Signup and view all the answers

In the ALARM acronym used in midwifery care, what does the 'A' stand for?

<p>Abnormal presentation (B)</p> Signup and view all the answers

According to the Neonatal Resuscitation Program (NRP) guidelines, what is the appropriate compression-to-ventilation ratio for neonatal patients when performed by a single rescuer?

<p>30:2 (C)</p> Signup and view all the answers

In the context of shoulder dystocia, which of the following maneuvers is typically performed to facilitate the delivery of the fetal shoulders?

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

Which of the following is the most common type of breech presentation in a fetus?

<p>Frank breech (A)</p> Signup and view all the answers

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