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

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Matthew Coulson
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Normal Labour & Puerperium

Frage 1 von 36

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

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Frage 2 von 36

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

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Frage 3 von 36

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Which hormone specifically initiates and sustains contractions?

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Frage 4 von 36

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Another term for the amniotic fluid is the

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Frage 5 von 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

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Frage 6 von 36

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

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Frage 7 von 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

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Frage 8 von 36

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

Wähle eine der folgenden:

  • 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

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Frage 9 von 36

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

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Frage 10 von 36

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

Wähle eine der folgenden:

  • Spontaneous labour

  • Induced labour

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Frage 11 von 36

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

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Frage 12 von 36

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

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Frage 13 von 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

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Frage 14 von 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.

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Frage 15 von 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

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Frage 16 von 36

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

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Frage 17 von 36

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Braxton-Hicks Contractions usually indicate the initiation of labour.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 18 von 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

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Frage 19 von 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

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Frage 20 von 36

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At which stage of labour is the baby delivered?

Wähle eine der folgenden:

  • First stage of labour

  • Second stage of labour

  • Third stage of labour

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Frage 21 von 36

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

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Frage 22 von 36

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A baby is normally delivered in which position?

Wähle eine der folgenden:

  • Occipito-anterior

  • Anterior-occipital

  • Occipito-transverse

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Frage 23 von 36

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A cephalic presentation is the normal type of presentation in labour

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 24 von 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

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Frage 25 von 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)

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Frage 26 von 36

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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

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Frage 27 von 36

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

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 28 von 36

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

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Frage 29 von 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 30 von 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 )

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Frage 31 von 36

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

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Frage 32 von 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.

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Frage 33 von 36

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

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Frage 34 von 36

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

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Frage 35 von 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.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 36 von 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

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