Quiz
Abnormal Labour
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Questions in this quiz (30)
1[blank_start]60%[blank_end] of pregnancies are delivered vaginally with no complications
[blank_start]25%[blank_end] of pregnancies are delivered by c-section- A60%
- B40%
- C80%
- D25%
- E10%
- F40%
2The anterior and posterior fontanelles along with the parietal eminences make up which area of the foetal skull?
The [blank_start]Vertex[blank_end]- AVertex
3Pre-term is defined as delivery before [blank_start]37 weeks[blank_end]
Post-term is defined as delivery after [blank_start]42 weeks[blank_end]- A37 weeks
- B36 weeks
- C38 weeks
- D42 weeks
- E40 weeks
- F41 weeks
4Name the following types of breech presentation:
- AComplete breech
- BFootling breech
- CFrank breech
5The type of breech presentation whereby the baby presents bottom first due to having their feet by their head is known as a [blank_start]frank[blank_end] breech
- Afrank
6Failure to progress is defined as [blank_start]<2cm[blank_end] cervical dilation in [blank_start]4[blank_end] hours
- A<2cm
- B<4cm
- C4
- D6
- E8
7Progression of the foetus through the maternal pelvis is quantified in relation to which bony landmarks?
The [blank_start]Ischial Spines[blank_end]- AIschial Spines
8A foetal progression of +3 would suggest that the baby is around 3cm [blank_start]below[blank_end] the ischial spines
- Abelow
- Babove
9What are the 3 Ps in relation to failure to progress? (shorted word to longest):
[blank_start]Power[blank_end]
[blank_start]Passage[blank_end]
[blank_start]Passenger[blank_end]- APassage
- BPower
- CPassenger
10The [blank_start]Partogram[blank_end] is used to record graphical information about the progress of labour in which the information about the fetal well-being, maternal well-being and the progress of labour are recorded onto a single chart
- APartogram
11Syntocinon is the synthetic form of the hormone [blank_start]oxytocin[blank_end] that is used to induce uterine contractions in labour
- Aoxytocin
12The chart on which the foetal heart rate is monitored alongside maternal uterine contractions is known as the [blank_start]cardiotocogram[blank_end] (don't use abbreviation)
- Acardiotocogram
13Cardiotocograms (CTGs) are analysed using the acronym DR C BRAVADO. What do the letters stand for?
DR - [blank_start]Define Risk[blank_end]
C - [blank_start]Contractions[blank_end]
BRA - [blank_start]Baseline Rate[blank_end]
V - [blank_start]Variability[blank_end]
A - [blank_start]Accelerations[blank_end]
D - [blank_start]Decelerations[blank_end]
O - [blank_start]Overall[blank_end] Judgement- ADefine Risk
- BContractions
- CBaseline Rate
- DVariability
- EAccelerations
- FDecelerations
- GOverall
14In terms of analysing the CTG, the Baseline Rate refers to the foetal heart rate. What is the normal foetal heart rate?
Between [blank_start]100-160[blank_end] BPM- A100-160
- B100-140
- C120-140
- D120-160
15In terms of analysing the CTG, the variability refers to the change in the foetal heart rate from one beat to the next. In a healthy foetus, the variability is between [blank_start]5-25[blank_end] BPM
- A5-25
- B5-10
- C10-20
- D15-25
16In terms of analysing the CTG, accelerations are abrupt increases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
- A15
- B5
- C10
- D15
- E5
- F10
17In terms of the CTG, accelerations occurring alongside contractions are [blank_start]normal[blank_end] and reassuring of [blank_start]a healthy[blank_end] foetus
- Anormal
- Babnormal
- Ca healthy
- Dan unhealthy
18In terms of analysing the CTG, decelerations are abrupt decreases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
- A15
- B5
- C10
- D15
- E5
- F10
19Decelerations can be early, late or variable:
[blank_start]Early decelerations[blank_end]: Occur exactly in time with uterine contractions and recover by the time the contraction is over
[blank_start]Variable decelerations[blank_end]: Have a variable recovery time
[blank_start]Late decelerations[blank_end]: Occur at the peak of a contraction and don’t recover until after the contraction is over- AEarly decelerations
- BVariable decelerations
- CLate decelerations
20Which type of decelerations are usually caused by cord compression?
- AEarly Decelerations
- BVariable Decelerations
- CLate Decelerations
21Which type of deceleration is considered normal and expected on a CTG?
- AEarly Deceleration
- BVariable Deceleration
- CLate Deceleration
22Which type of decelerations are almost always a sign of foetal distress and should be thoroughly investigated?
- AEarly Decelerations
- BVariable Decelerations
- CLate Decelerations
23Which 2 sites can you take blood from to determine if a foetus is hypoxic?
- ACapillaries in the foetal scalp (via vaginal examination)
- BUmbilical cord upon delivery
- CAmniotic fluid
- DMaternal blood
24If the foetal blood pH is [blank_start]under 7.2[blank_end] the baby is likely to be hypoxic and should be delivered
- Aunder 7.2
- Bunder 7.3
- Cover 7.4
- Dover 7.5
25Assisted Vaginal Delivery typically involves these two tools. What are they called?
- AForceps
- BVentouse
26In the case of failure to progress in labour (without epidural anaesthesia), how long would you try for a spontaneous vaginal delivery before attempting assisted vaginal delivery?
Primigravida = [blank_start]2 hours[blank_end]
Multiparous = [blank_start]1 hour[blank_end]- A2 hours
- B1 hour
- C1 hour
- D2 hours
27Ventouse delivery is typically more effective that a forceps delivery
- ATrue
- BFalse
28Which condition, characterised by a deep rooted placenta, becomes more likely in subsequent pregnancies if a woman is to have a caesarean section?
[blank_start]Placenta accreta[blank_end]- APlacenta accreta
29Which of the following warrants immediate foetal blood sampling?
- APresence of Variable Decelerations
- BPresence of Late Decelerations
- CPresence of Early Accelerations
- DFoetal Heart Rate = 114
- EFoetal Heart Rate Variability = 24 BPM
30A foetal blood sample indicates that the blood is more acidic than it should be. What is your next move?
- AImmediate Foetal Transabdominal Ultrasound
- BEmergency C-section
- CEmergency Syntocinon Infusion
- DMaternal Blood Transfusion
- ETake Maternal blood to investigate for foetal hypoxia
Information
- Description
- Abnormal Labour lecture given on the Thursday morning of Week 4
- Author
- Matthew Coulson
- Language
- English
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