Normal Labour & Puerperium

Question 1 of 36

1

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

Explanation

Question 2 of 36

1

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

Explanation

Question 3 of 36

1

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Which hormone specifically initiates and sustains contractions?

Explanation

Question 4 of 36

1

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Another term for the amniotic fluid is the

Explanation

Question 5 of 36

1

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The release of Oxytocin in response to cervical stretching thus encouraging uterine contractions and childbirth is known as the reflex

Explanation

Question 6 of 36

1

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

Explanation

Question 7 of 36

1

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A woman stating that her "water has broken" or "membranes have ruptured" is referring to the rupture of her sac

Explanation

Question 8 of 36

1

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

Select one of the following:

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

Explanation

Question 9 of 36

1

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

Explanation

Question 10 of 36

1

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

Select one of the following:

Spontaneous labour
Induced labour

Explanation

Question 11 of 36

1

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

Explanation

Question 12 of 36

1

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

Explanation

Question 13 of 36

1

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

Explanation

Question 14 of 36

1

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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.

Explanation

Question 15 of 36

1

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

Explanation

Question 16 of 36

1

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

Explanation

Question 17 of 36

1

Braxton-Hicks Contractions usually indicate the initiation of labour.

Select one of the following:

True
False

Explanation

Question 18 of 36

1

Fill the blank spaces to complete the text.

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

Explanation

Question 19 of 36

1

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In order to increase the power of a woman's contractions, which hormone could be given as a medication?
Synthetic

Explanation

Question 20 of 36

1

At which stage of labour is the baby delivered?

Select one of the following:

First stage of labour
Second stage of labour
Third stage of labour

Explanation

Question 21 of 36

1

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

Explanation

Question 22 of 36

1

A baby is normally delivered in which position?

Select one of the following:

Occipito-anterior
Anterior-occipital
Occipito-transverse

Explanation

Question 23 of 36

1

A cephalic presentation is the normal type of presentation in labour

Select one of the following:

True
False

Explanation

Question 24 of 36

1

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

Explanation

Question 25 of 36

1

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)

Explanation

Question 26 of 36

1

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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

Explanation

Question 27 of 36

1

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

Select one of the following:

True
False

Explanation

Question 28 of 36

1

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

Explanation

Question 29 of 36

1

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.

Select one of the following:

True
False

Explanation

Question 30 of 36

1

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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 )

Explanation

Question 31 of 36

1

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

Explanation

Question 32 of 36

1

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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.

Explanation

Question 33 of 36

1

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

Explanation

Question 34 of 36

1

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

Explanation

Question 35 of 36

1

Bloodstained discharge is completely normal for around 14 days following birth and a mother should thus not worry about this.

Select one of the following:

True
False

Explanation

Question 36 of 36

1

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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

	Created by Matthew Coulson over 5 years ago

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

Normal Labour & Puerperium

Question 1 of 36

Select from the dropdown lists to complete the text.

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

Explanation

Question 2 of 36

Fill the blank space to complete the text.

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

Explanation

Question 3 of 36

Fill the blank space to complete the text.

Which hormone specifically initiates and sustains contractions?

Explanation

Question 4 of 36

Fill the blank space to complete the text.

Another term for the amniotic fluid is the

Explanation

Question 5 of 36

Fill the blank space to complete the text.

The release of Oxytocin in response to cervical stretching thus encouraging uterine contractions and childbirth is known as the reflex

Explanation

Question 6 of 36

Fill the blank space to complete the text.

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

Explanation

Question 7 of 36

Fill the blank space to complete the text.

A woman stating that her "water has broken" or "membranes have ruptured" is referring to the rupture of her sac

Explanation

Question 8 of 36

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

Select one of the following:

Explanation

Question 9 of 36

Fill the blank space to complete the text.

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

Explanation

Question 10 of 36

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

Select one of the following:

Explanation

Question 11 of 36

Select from the dropdown list to complete the text.

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

Explanation

Question 12 of 36

Select from the dropdown list to complete the text.

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

Explanation

Question 13 of 36

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

Drag and drop to complete the text.

Explanation

Question 14 of 36

Fill the blank space to complete the text.

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.

Explanation

Question 15 of 36

Second stage of Labour: ❌ Third stage of Labour: ❌

Drag and drop to complete the text.

Explanation

Question 16 of 36

Select from the dropdown list to complete the text.

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

Explanation

Question 17 of 36

Braxton-Hicks Contractions usually indicate the initiation of labour.

Select one of the following:

Explanation

Question 18 of 36

Fill the blank spaces to complete the text.

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

Explanation

Question 19 of 36

Fill the blank space to complete the text.

In order to increase the power of a woman's contractions, which hormone could be given as a medication? Synthetic

Explanation

Question 20 of 36

At which stage of labour is the baby delivered?

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

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

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

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

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

Second stage of Labour: ❌
Third stage of Labour: ❌

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

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

In order to increase the power of a woman's contractions, which hormone could be given as a medication?
Synthetic

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

Arrange the analgesia options for birth from least to most effective
❌
❌
❌
❌
❌
❌
❌

TENS = Transcutaneous Electrical Nerve Stimulation
Entonox = Mixture of Oxygen+Nitrous Oxide

Arrange the 7 cardinal movements of labour from 1-7:
1…❌
2…❌
3…❌
4…❌
5…❌
6…❌
7…❌

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

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 )

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

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.

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