Labor, Delivery, and Obstetrical Complications

Question 1

Manipulation of the fetus through the maternal abdomen to a cephalic presentation

Answer 1

External cephalic version

Question 2

Macrosomia is defined as having a birthweight of:

Answer 2

> 4,000 g

Question 3

The most common cause of obstetric hemorrhage

Answer 3

Uterine atony

Question 4

Abnormal labor pattern wherein there is no descent in the deceleration phase or second stage

Answer 4

Failure of descent

Question 5

Preferred treatment for prolonged latent phase

Answer 5

Bed rest

Question 6

In the absence of cephalopelvic disproportion, what is the preferred treatment for arrest disorders?

Answer 6

Oxytocin

Question 7

Engagement is the mechanism by which the greatest transverse diameter of the fetal head in an occiput presentation passes through the pelvic inlet. What is this diameter and how long is it?

Answer 7

Biparietal diameter, 9.5 cm

Question 8

In multiparas, protracted active-phase dilatation is defined as cervical dilatation occurring at a rate less than ___ [cm/hr].

Answer 8

1.5 cm/hr

Question 9

In what part of the uterus is the incision made for a low transverse cesarean section?

Answer 9

Lower uterine segment

Question 10

What is the most dreaded complication of preterm premature rupture of membranes?

Answer 10

Chorioamnionitis

Question 11

Prolonged latent phase in nulliparas

Answer 11

> 20 hr

Question 12

Normal range for the single deepest pocket or maximum vertical pocket in the ultrasonographic assessment of amnionic fluid volume

Answer 12

2-8 cm

Question 13

Normal range for amnionic fluid index

Answer 13

5-24 cm

Question 14

Implantation in the lower uterine segment such that the placental edge does not reach the internal os and remains outside a 2-cm wide perimeter around the os

Answer 14

Low-lying placenta

Question 15

Most characteristic clinical feature of placenta previa

Answer 15

Painless bleeding

Question 16

Imaging modality of choice in confirming placenta previa

Answer 16

Transabdominal sonography (96% accuracy)

Question 17

Chorionic villi attached to the myometrium

Answer 17

Placenta accreta

Question 18

Chorionic villi invade the myometrium

Answer 18

Placenta increta

Question 19

Chorionic villi penetrate the myometrium and to or through the serosa

Answer 19

Placenta percreta

Question 20

Maneuver used in the manual delivery of the aftercoming head in breech deliveries

Answer 20

Mauriceau maneuver

Question 21

In delivery of the fetus in face presentation, vaginal delivery is usually successful except in this position

Answer 21

Mentum posterior position

Question 22

Average length of the funis

Answer 22

55 cm