BECKMANN AND LINGS OBSTETRICS
AND GYNECOLOGY 8TH EDITION
ROBERT CASANOVA REVIEW QUESTION
SET WITH ACCURATE ANSWERS
◉ Active phase
Answer: 4-7 cm dilation per course slides.
◉ Transition phase
Answer: 8-10 cm dilation per course slides.
◉ Second stage of labor
Answer: Complete dilation at 10 cm to birth of the baby.
◉ Third stage of labor
Answer: Birth of baby to delivery of placenta; up to 30 minutes
listed as normal in course material.
◉ Fourth stage of labor
Answer: Immediate postpartum recovery with frequent fundus,
vital sign, and bleeding assessments.
◉ AROM priority
, Answer: Immediately after artificial rupture of membranes, assess
FHR FIRST.
◉ AROM second priority
Answer: Assess amniotic fluid color/characteristics after checking
FHR.
◉ AROM infection monitoring
Answer: Monitor maternal temperature after ROM because
infection risk increases.
◉ Early decelerations
Answer: Mirror contractions; usually caused by fetal head
compression and are generally benign.
◉ Variable decelerations
Answer: Abrupt decelerations from umbilical cord compression.
◉ Variable deceleration interventions
Answer: Reposition side-to-side, assess for prolapsed cord
especially after ROM, stop oxytocin if infusing; amnioinfusion may
be used for recurrent variables with low fluid.
◉ Late decelerations
Answer: Associated with uteroplacental insufficiency.
AND GYNECOLOGY 8TH EDITION
ROBERT CASANOVA REVIEW QUESTION
SET WITH ACCURATE ANSWERS
◉ Active phase
Answer: 4-7 cm dilation per course slides.
◉ Transition phase
Answer: 8-10 cm dilation per course slides.
◉ Second stage of labor
Answer: Complete dilation at 10 cm to birth of the baby.
◉ Third stage of labor
Answer: Birth of baby to delivery of placenta; up to 30 minutes
listed as normal in course material.
◉ Fourth stage of labor
Answer: Immediate postpartum recovery with frequent fundus,
vital sign, and bleeding assessments.
◉ AROM priority
, Answer: Immediately after artificial rupture of membranes, assess
FHR FIRST.
◉ AROM second priority
Answer: Assess amniotic fluid color/characteristics after checking
FHR.
◉ AROM infection monitoring
Answer: Monitor maternal temperature after ROM because
infection risk increases.
◉ Early decelerations
Answer: Mirror contractions; usually caused by fetal head
compression and are generally benign.
◉ Variable decelerations
Answer: Abrupt decelerations from umbilical cord compression.
◉ Variable deceleration interventions
Answer: Reposition side-to-side, assess for prolapsed cord
especially after ROM, stop oxytocin if infusing; amnioinfusion may
be used for recurrent variables with low fluid.
◉ Late decelerations
Answer: Associated with uteroplacental insufficiency.
