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This is a mixed 20 point quiz containing one sort order, extended selection and multiple choice question about labour and delivery. We suggest reviewing the Labour & delivery page before taking this quiz.
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Question 1 of 3
1. Question
Select the 4 features of uterine contractions that are typical of the presence of true labour.
Correct
Features of true labour contractions are they:
Occur at regular intervals becoming more frequent with time (e.g. every 10 min., 8 min, 5 min.)
Last 30 seconds at onset and get progressively longer
Start high in the abdomen and radiate across abdomen and lower back
Are unchanged by movementIn false labour contractions:
Occur sporadically and without a predictable pattern
Vary in length and intensity
Are usually central abdominal or in the groin
May stop or slow with change of position (link)Incorrect
Features of true labour contractions are they:
Occur at regular intervals becoming more frequent with time (e.g. every 10 min., 8 min, 5 min.)
Last 30 seconds at onset and get progressively longer
Start high in the abdomen and radiate across abdomen and lower back
Are unchanged by movementIn false labour contractions:
Occur sporadically and without a predictable pattern
Vary in length and intensity
Are usually central abdominal or in the groin
May stop or slow with change of position (link) -
Question 2 of 3
2. Question
Re-organise the following items into the correct sequence to conduct a normal vaginal delivery
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Ensure adequate staff in attendance
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Provide analgesia
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Monitor fetal heart rate
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Perform vaginal examination if head not crowning
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Determine presenting part
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Determine degree of cervical dilation
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Deliver head by maintaining neck flexion
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Suction nose and mouth
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Deliver trunk, anterior shoulder first
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Clamp and cut cord 10 cm from baby
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Collect cord blood
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Check for undiagnosed twin
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Administer oxytocin 10 Units IV
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Deliver placenta
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Inspect placenta
Correct
The usual sequence for a normal vaginal delivery is:prepare instruments and paediatric trolley; ensure adequate staff in attendance; provide analgesia; monitor fetal heart rate and strength and duration of contractions; position either in supine or lateral position; perform vaginal examination if head not crowning; determine presenting part; determine cervical dilation (1–10 cm) and effacement (thins to 1 mm); perform episiotomy if required; deliver head by maintaining flexion; when head delivered, free cord from around neck; suction nose and mouth; deliver trunk, anterior shoulder first; clamp and cut cord 10 cm from baby; collect cord blood; check for undiagnosed twin; administer oxytocic agent, oxytocin 10 Units IV; deliver placenta; inspect placenta. (link)
Incorrect
The usual sequence for a normal vaginal delivery is:prepare instruments and paediatric trolley; ensure adequate staff in attendance; provide analgesia; monitor fetal heart rate and strength and duration of contractions; position either in supine or lateral position; perform vaginal examination if head not crowning; determine presenting part; determine cervical dilation (1–10 cm) and effacement (thins to 1 mm); perform episiotomy if required; deliver head by maintaining flexion; when head delivered, free cord from around neck; suction nose and mouth; deliver trunk, anterior shoulder first; clamp and cut cord 10 cm from baby; collect cord blood; check for undiagnosed twin; administer oxytocic agent, oxytocin 10 Units IV; deliver placenta; inspect placenta. (link)
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Question 3 of 3
3. Question
During labour, dilation of the cervix of < 7cm suggests that delivery is unlikely in the following