Midwifery - Anatomy and Physiology - Year 1 questions with correct answers

What are the 3 phases of the first stage of labour? - Answer Latent phase - 0-4cm, irregular contractions, cervical canal shortens (3cm to less than 0.5cm). Active phase - 4-8cm, regular contractions 2-5 mins apart and lasting over 60 seconds, cervix is mid to anterior/soft, effaced. Transitional - 8-10cm, can be brief lull in contractions, change in woman's behaviour. Where does fertilisation usually occur? - Answer Ampulla of the uterine tube. What is the dosage of diamorphine and how is it given? - Answer 5-10mg (dependent on patient size), 4 hourly and IM. What is Pica? - Answer Craving of non-food items such as clay, soap, coal, etc. When should the nuchal translucency scan take place and what is it for? - Answer Between 11+2 and 14+1 weeks. It checks the fluid at the back of the baby's neck and is an indicator for Down's syndrome. What is tachysystole? - Answer More than 5 contractions in 10 minutes in spontaneous labour. What is tachycardia? - Answer A maternal pulse rate of over 100bpm.