Notes in 14 Conduct of Normal Labor and Delivery

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Status	Last Update	Fields
Published	07/30/2024	Normal Values: Frequency of contraction per hour for Labor{{c1::≥12}} contractions per hour
Published	07/30/2024	Normal Values: pH of Amniotic Fluid{{c1::7}}
Published	07/30/2024	Most definitive method to assess membrane status{{c1::Sterile Speculum Examination}}
Published	07/30/2024	Gold standard method for status of amniotic membrane{{c1::Indigo Carmine}}
Published	07/30/2024	[QC] Intact membrane status 1. Ferning2. Beading{{c1::B}}
Published	07/30/2024	Complication associated to umbilical cord when head is engaged but ruputured membrane {{c1::Cord prolapse}}
Published	07/30/2024	Nitrazine test result of (+) amniotic fluid presence during status membrane examination{{c1::turns to blue → alkaline::color}}
Published	07/30/2024	{{c1::Cervical effacement}} - Shortening or thinning out of the cervix as observed in internal examination
Published	07/30/2024	VR1. Engaged fetal head2. Cervix length {{c1::B}}
Published	07/30/2024	Normal Values: Fetal Biparietal Diameter {{c1::10}} cm
Published	07/30/2024	How do you define the intensity of uterine contractions?Mild - {{c1::Abdomen can be indented upon palpation during contraction}}Strong - {{c1::Cannot …
Published	07/30/2024	[QC] Duration of whole labor1. True labor 2. False labor{{c1::B}}
Published	07/30/2024	Internal examination of fetus is needed during collection of vital sign {{c1::False::T/F}}
Published	07/30/2024	Vital signs of px that are collected every 4 hrs{{c1::Maternal BP TemperaturePulse rateRespiratory rateFetal heart rate (situational)}}
Published	07/30/2024	Bacteria/virus related screening test that is done during inital assesment if there is missing prenatal care{{c1::SyphilisHBsAgHIV}}
Published	07/30/2024	Laboratory exams that are performed on initial assessment of px in labor {{c1::CBA (Hgb, Blood type, Rh)UrinalysisScreening infection (high risk)…
Published	07/30/2024	Frequency to assess fetal heart of non-high risk individual 1st stage of labor: every {{c1::30}} mins2nd stage of labor: every {{c1::15}} mins
Published	07/30/2024	Frequency to assess fetal heart of high risk individual 1st stage of labor: every {{c1::5}} mins2nd stage of labor: every {{c1::5}} mins
Published	07/30/2024	Vital signs of mother are evaluated at least every {{c1::4}} hours
Published	07/30/2024	Important vital sign to assess if there is membrane rupture{{c1::Temperature - every hour to check infection}}
Published	07/30/2024	Mandated NPO in Philippine setting of px in labor for delivery{{c1::6-8 hours}}
Published	07/30/2024	For women with uncomplicated labor,  oral intake of moderate amounts of clear liquids is possible {{c1::True::T/F}}
Published	07/30/2024	It is advisable to perform vaginal examination for px with ruptured membrane to address possible complciation {{c1::False::T/F}}
Published	07/30/2024	IV access is routinely done for px in labor to prevent dehdyration {{c1::False - given when needed only::T/F}}
Published	07/30/2024	Ideal maternal position during active phase of labor {{c1::Left lateral recumbent }}
Published	07/30/2024	Analgesia is not mandated and should depend on the needs of the patient in labor {{c1::True::T/F}}
Published	07/30/2024	Type of anesthesia given to provide best pain relief and episiotomy {{c1::Epidural anesthesia}}
Published	07/30/2024	Cervical dilatation measurement during acceleration phase of the active phase {{c1::4-6 cm}}
Published	07/30/2024	Cervical dilatation measurement during deceleration phase of the active phase {{c1::8 cm}}
Published	07/30/2024	A nullipara patient started at 4 cm, what is expected after 2 hours?{{c1::6.4 cm}}
Published	07/30/2024	A multipara patient started at 4 cm, what is expected after 2 hours?{{c1::7 cm}}
Published	07/30/2024	Which stage of active phase of cervical dilatation should descent begin to occur?{{c1::Deceleration phase}}
Published	07/30/2024	Expected duration hrs of prolonged 2nd stage of labor With epidural: >{{c1::3}} hrWithout epidural: >{{c1::2}} hr
Published	07/30/2024	Median duration of 2nd stage of labor Nulliparas - {{c1::50 mins}}Multiparas - {{c1::20 mins}}
Published	07/30/2024	Does High maternal BMI interfere with the duration of 2nd stage of labor?{{c1::N::Y/N}}
Published	07/30/2024	For intact membrane during labor, pelvic examination is performed {{c1::each hour::interval}} for the next 3 hours, and there-after 2-hour intervals
Published	07/30/2024	Drug administered if there is still low cervical dilatation {{c1::Oxytocin}}
Published	07/30/2024	Only around {{c1::500}} cc of blood loss in a normal delivery is acceptable
Published	07/30/2024	{{c1::Crowning}} - Encirclement of the largest head diameter by the vulvar ring. This is considered station {{c2::5}}+
Published	07/30/2024	Routine episiotomy is recommended to allow ease of delivery {{c1::False::T/F}}
Published	07/30/2024	Midline episiotomy Suprior landmark: {{c1::fourchette}}Inferior landmark: {{c1::before the external anal sphincter}}
Published	07/30/2024	[QC] Less bleeding and faster repair1. Midline episiotomy 2. Mediolateral episiotomy {{c1::A}}
Published	07/30/2024	[QC] High risk of anal laceration1. Midline episiotomy 2. Mediolateral episiotomy {{c1::A}}
Published	07/30/2024	[QC] Dyspareunia1. Midline episiotomy 2. Mediolateral episiotomy {{c1::B}}
Published	07/30/2024	[QC] Involves cutting of muscles and fat1. Midline episiotomy 2. Mediolateral episiotomy {{c1::B}}
Published	07/30/2024	Perform a {{c1::pudendal nerve block::anesthetic technique}} before episiotomy to decrease the pain there
Published	07/30/2024	CBA. Laceration Classification Injury to only the vaginal epithelium or perineal skinA. 1st degree laceration B. 2nd degree laceration …
Published	07/30/2024	CBA. Laceration Classification Injury bulbospongiosus and superior transverse perineal musclesA. 1st degree laceration B. 2nd degree lacerat…
Published	07/30/2024	CBA. Laceration Classification Injury to external anal sphincterA. 1st degree laceration B. 2nd degree laceration C. 3rd degree la…
Published	07/30/2024	CBA. Laceration Classification Injury to perineal body and anorectal mucosaA. 1st degree laceration B. 2nd degree laceration C. 3r…
Published	07/30/2024	Suitable management for 1st degree laceration of perineum {{c1::Adhesive glue}}
Published	07/30/2024	Suitable management for 2nd degree laceration of perineum {{c1::Continuous suturing method - polyglactin 910}}
Published	07/30/2024	Suitable management for 3rd degree laceration of perineum{{c1::End-to-end Technique}}
Published	07/30/2024	Suitable management for 4th degree laceration of perineum{{c1::Continuous, non-locking method of suturing}}
Published	07/30/2024	How to perform modified Ritgen Maneuver{{c1::Moderate upward pressure is applied to the fetal chin by the posterior hand covered by a sterile towel. T…
Published	07/30/2024	How to perform McRoberts maneuver?{{c1::Asks the mother to flex her knees further that the heel touches the buttocks}}
Published	07/30/2024	How to perform Zavanelli maneuver?{{c1::Bring back the head of the fetus and then perform the abdominal delivery}}
Published	07/30/2024	Is clearing of nasopharynx routinely done for delivered neonates?{{c1::No::Y/N}}
Published	07/30/2024	Goal of third stage labor is to deliver intact whole placenta{{c1::True::T/F}}
Published	07/30/2024	Active management of 3rd stage labor after delivery {{c1::Early cord clamping Controlled cord traction Immediate oxytocin administratio…
Published	07/30/2024	The umbilical cord is cut between two clamps placed {{c1::6-8}} cm from the fetal abdomen (“surgeonic”), and later an umbilical cord clamp is applied …
Published	07/30/2024	For testing for umbilical cord pH, use another clamp. Specimen comes between the {{c1::2nd::number}} and {{c1::3rd::number}} cut
Published	07/30/2024	Uterus complication if you pull on the placenta during 3rd stage of labor {{c1::Uterine inversion}}
Published	07/30/2024	Hand placement on abdominal region of px during 3rd stage of labor to avoid uterine inversion {{c1::4 fingers - Applied over the fundal port…
Published	07/30/2024	Bolus oxytocin ADE{{c1::Hypotension}}
Published	07/30/2024	{{c1::Misoprostol}} - Prostaglandin E1 analogue Uterotonic
Published	07/30/2024	{{c1::Carboprost}} - Prostaglandin F2a analogue Uterotonic
Published	07/30/2024	CBA. UterotonicCan be used as a second-lineA. CarboprostB. MergonovineC. SyntometrineD. Carbetocin{{c1::A}}
Published	07/30/2024	CBA. UterotonicErgot alkaloid agentsA. CarboprostB. MergonovineC. SyntometrineD. Carbetocin{{c1::B}}
Published	07/30/2024	CBA. UterotonicContraindicated for bronchial asthmaA. CarboprostB. MergonovineC. SyntometrineD. Carbetocin{{c1::A and B}}
Published	07/30/2024	CBA. UterotonicCombination agent of oxytocin & ergonovineA. CarboprostB. MergonovineC. SyntometrineD. Carbetocin{{c1::C}}
Published	07/30/2024	CBA. UterotonicHemorrhage prevention during cesarean deliveryA. CarboprostB. MergonovineC. SyntometrineD. Carbetocin{{c1::D}}
Published	07/30/2024	QC. Shiny membranous1. Schultz mechanism2. Duncan mechanism {{c1::A}}
Published	07/30/2024	QC. Central mechanism1. Schultz mechanism2. Duncan mechanism {{c1::A}}
Published	07/30/2024	QC. Dirty side1. Schultz mechanism2. Duncan mechanism {{c1::B}}
Published	07/30/2024	QC. Peripheral mechanism1. Schultz mechanism2. Duncan mechanism {{c1::B}}
Published	07/30/2024	QC. Attached on the decidua of the uterus1. Schultz mechanism2. Duncan mechanism {{c1::B}}
Published	07/30/2024	Fetal complication prevented by immediate drying {{c1::Hypothermia}}
Published	07/30/2024	Clamp and cut the cord after {{c1::pulsations have stopped::visible cue}} or {{c1::1-3}} mins from expulsion
Published	07/30/2024	Milk the cord towards the {{c1::newborn::placenta or newborn}}
Published	07/30/2024	EINC four steps in sequential order{{c1::Immediate and Thorough dryingSkin to skin contactProper time cord clampingNon separation to ensure breastfeed…
Published	07/30/2024	Maternal BP and pulse are checked every {{c1::15}} mins for the first 2 hours in postpartum care
Status	Last Update	Fields