CMCA (2nd Sem) - M2 MIDTERMS
Intertia correct answers- denote sluggishness of contractions
- dysfunctional labor
onset, later correct answersPrimary occurring in the , and
Secondary occurring later.
uterine contractions correct answersthe basic force that moves the fetus
through the birth canal
hypotonic contractions correct answers- contractions are infrequent
- not more than 2-3 in a 10-min period
-resting tone: less than 10 mmHg; strength of contractions:: does not
rise above 25 mmHg
prevents the descent correct answersa distended bowel or
bladder - oxytocin (pitocin) correct answersmanagement for
hypotonic contractions
latent phase correct answerswhat phase of labor does hypertonic
contractions occur? hypertonic contractions correct answersincreased
resting tone to more than 15 mmHg
hypertonic contractions correct answers- occurs when more than
one uterine pacemaker is stimulating contractions
- muscle fibers of the myometrium do not relax after contractions
analgesic: morphine sulfate correct answersmanagement for
hypertonic contractions
uncoordinated contractions correct answersoccur closely together
that they can interfere with blood supply to the placenta.
it is difficult for a woman to rest and breath effectively between
contractions
dysfunction that occurs with the first stage of labor: correct answers1. a
prolonged latent phase
2. protracted active phase
3. prolonged deceleration phase
4. secondary arrest of dilatation
, prolonged latent phase correct answersoccurs if the cervix is not ripe at the
beginning of labor or if there is excessive use of analgesics
contractions are mild, therefore ineffective.
20 hours correct answershow many hours does a prolonged latent phase
occurs in a nullipara?
14 hours correct answershow many hours does a prolonged latent phase
occurs in a multipara?
hypertonic state correct answerswith a prolonged latent phase, the uterus
tends to be in a
protracted active phase correct answersassociated with fetal
malposition or cephalopelvic disproportion (CPD)
prolonged decelaration pjase correct answersthis most often results from
abnormal fetal head position and CS is frequently required
3 hours correct answersA deceleration phase has become prolonged when
it extends beyond in a nullipara
1 hour correct answersA deceleration phase has become prolonged when
it extends beyond in a multipara
secondary arrest of dilatation correct answersthere is no progress in cervical
dilation for longer than 2 hours
Dysfunction that occurs with the second stage of labor correct answers1.
prolonged descent
2. arrest of descent
prolonged descent correct answersoccurs if the rate of descent is < 1
cm/hr in a nullipara or 2 cm/hr in a multipara
arrest of descent correct answersno descent has occurred for 2 hours in
nullipara or 1hr for multipara
CPD correct answersthe most likely cause for arrest of descent during the
second stage
failure of descent correct answerswhen expected descent of the fetus does
not begin or engagement beyond 0 station does not occur.
precipitate labor correct answersoccur when uterine contractions are so
strong that a woman gives birth with only a few
Intertia correct answers- denote sluggishness of contractions
- dysfunctional labor
onset, later correct answersPrimary occurring in the , and
Secondary occurring later.
uterine contractions correct answersthe basic force that moves the fetus
through the birth canal
hypotonic contractions correct answers- contractions are infrequent
- not more than 2-3 in a 10-min period
-resting tone: less than 10 mmHg; strength of contractions:: does not
rise above 25 mmHg
prevents the descent correct answersa distended bowel or
bladder - oxytocin (pitocin) correct answersmanagement for
hypotonic contractions
latent phase correct answerswhat phase of labor does hypertonic
contractions occur? hypertonic contractions correct answersincreased
resting tone to more than 15 mmHg
hypertonic contractions correct answers- occurs when more than
one uterine pacemaker is stimulating contractions
- muscle fibers of the myometrium do not relax after contractions
analgesic: morphine sulfate correct answersmanagement for
hypertonic contractions
uncoordinated contractions correct answersoccur closely together
that they can interfere with blood supply to the placenta.
it is difficult for a woman to rest and breath effectively between
contractions
dysfunction that occurs with the first stage of labor: correct answers1. a
prolonged latent phase
2. protracted active phase
3. prolonged deceleration phase
4. secondary arrest of dilatation
, prolonged latent phase correct answersoccurs if the cervix is not ripe at the
beginning of labor or if there is excessive use of analgesics
contractions are mild, therefore ineffective.
20 hours correct answershow many hours does a prolonged latent phase
occurs in a nullipara?
14 hours correct answershow many hours does a prolonged latent phase
occurs in a multipara?
hypertonic state correct answerswith a prolonged latent phase, the uterus
tends to be in a
protracted active phase correct answersassociated with fetal
malposition or cephalopelvic disproportion (CPD)
prolonged decelaration pjase correct answersthis most often results from
abnormal fetal head position and CS is frequently required
3 hours correct answersA deceleration phase has become prolonged when
it extends beyond in a nullipara
1 hour correct answersA deceleration phase has become prolonged when
it extends beyond in a multipara
secondary arrest of dilatation correct answersthere is no progress in cervical
dilation for longer than 2 hours
Dysfunction that occurs with the second stage of labor correct answers1.
prolonged descent
2. arrest of descent
prolonged descent correct answersoccurs if the rate of descent is < 1
cm/hr in a nullipara or 2 cm/hr in a multipara
arrest of descent correct answersno descent has occurred for 2 hours in
nullipara or 1hr for multipara
CPD correct answersthe most likely cause for arrest of descent during the
second stage
failure of descent correct answerswhen expected descent of the fetus does
not begin or engagement beyond 0 station does not occur.
precipitate labor correct answersoccur when uterine contractions are so
strong that a woman gives birth with only a few
