OBGYN - Labor and Delivery Questions With Complete
Solutions
What are Braxton Hicks contractions?
They are preterm or false labor contractions. Occur every 15-20
minutes or 4-5/hour (starts occurring ~30 weeks of pregnancy)
What is true labor?
contractions with cervical change (cervix thins out then dilates)
What is bloody show?
blood from the vagina when the cervix starts thinning and
dilating
if seen: go to L and D
is mucus plug a sign of labor?
No
What is considered full dilation when a woman is ready to push?
10 cm
How do we know when a woman is in labor?
having contraction every 5 minutes, each lasting one minute, for
at least an hour
Rupture of membrane is commonly referred to as?
,water breaking (can be spontaneous or artificial)
50% effaced is how many cm dilated?
2 cm dilated
100% effaced is how many cm dilated?
4 cm
what is a normal kick count?
10 kicks per hour
What is occiput posterior position?
When the back of the babys head is against the mothers
back/sacrum
C section
"sunny side up"
what is occiput anterior
occipital bone is against the pubic symphysis
What is defined as "engagement" of the baby?
Baby is "dropping" into true pelvis
biparietal diameter is @ the ischial spine --> station 0
What is the name for the reference we use when looking to
possible induce someone?
, Bishop's Index
at what bishops index will we induce?
7
what is the earliest we will induce? why?
39 weeks due to lung maturity
What is the first stage of labor?
1. latent: 0-4cm
2. Active: 4-10cm
What is the second stage of labor?
complete dilation (10cm) and effacement to the delivery of the
baby
What is the 3rd stage of labor?
from delivery of the baby to the delivery of the placenta
What is the 4th stage of labor?
first hour after delivery (risk of complications is highest here)
"golden hour"
Brow presentation: deliver vaginally or C?
vaginal
face presentation: deliver vaginally or C?
Solutions
What are Braxton Hicks contractions?
They are preterm or false labor contractions. Occur every 15-20
minutes or 4-5/hour (starts occurring ~30 weeks of pregnancy)
What is true labor?
contractions with cervical change (cervix thins out then dilates)
What is bloody show?
blood from the vagina when the cervix starts thinning and
dilating
if seen: go to L and D
is mucus plug a sign of labor?
No
What is considered full dilation when a woman is ready to push?
10 cm
How do we know when a woman is in labor?
having contraction every 5 minutes, each lasting one minute, for
at least an hour
Rupture of membrane is commonly referred to as?
,water breaking (can be spontaneous or artificial)
50% effaced is how many cm dilated?
2 cm dilated
100% effaced is how many cm dilated?
4 cm
what is a normal kick count?
10 kicks per hour
What is occiput posterior position?
When the back of the babys head is against the mothers
back/sacrum
C section
"sunny side up"
what is occiput anterior
occipital bone is against the pubic symphysis
What is defined as "engagement" of the baby?
Baby is "dropping" into true pelvis
biparietal diameter is @ the ischial spine --> station 0
What is the name for the reference we use when looking to
possible induce someone?
, Bishop's Index
at what bishops index will we induce?
7
what is the earliest we will induce? why?
39 weeks due to lung maturity
What is the first stage of labor?
1. latent: 0-4cm
2. Active: 4-10cm
What is the second stage of labor?
complete dilation (10cm) and effacement to the delivery of the
baby
What is the 3rd stage of labor?
from delivery of the baby to the delivery of the placenta
What is the 4th stage of labor?
first hour after delivery (risk of complications is highest here)
"golden hour"
Brow presentation: deliver vaginally or C?
vaginal
face presentation: deliver vaginally or C?
