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WorksheetsObs & Gynae Paper-1 SBA
Total questions: 10
Worksheet time: 10mins
SBA
About Placenta..
Developed from four sources
Usually attached in lower urinary segment.
Umbilical arteries carry pure blood
It is a discoid disc
The placenta consists of two plates
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Causes of on-set of labour
Low level of oxytocin
High level of progesterone
Low level of fetal ACTH
Low level of progesterone.
Low level of prostaglandins
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Sign of normal puerperium..
Uterine sub-involution.
Temperature sub normal.
Breast engorgement.
Abdominal pain.
Lockial discharge not offensive
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Feature of severe pre-eclampsia.
BP > 130/90 mm of Hg.
No protenuria.
Platelet count > 300000/mm3
Platelet count < 100000/mm3
No cerebral or visual disturbances
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About pre term labour-
Labour starts after 37th completed week.
Glucocorticoids reduce neonatal death
It is monofactorial.
The causes are always known.
Tocolytic drugs has no role.
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What is the most important cause of PROM?
Multiparity.
Elderly mother
Maternal infection.
Maternal anaemia.
Oligohydramnios
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Regarding breech presentation-
At term it is 5-10%
Pre-maturity is the main cause.
There are four varieties.
Post maturity is the main cause.
Polyhydramnios is the important cause.
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What is the common complication of the third stage of labour?
Uterine atonicity
Shoulder dystocia.
Cervical dystocia.
Fetal distress
Inversion of uterus.
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Feature of term new-born baby--
The length is 80-82 cm
Occipito-frontal circumference about 20-25 cm.
Biparietal diameter about 10.5 cm.
Crown to foot length 50-52 cm.
Average weight is 4.9 kg.
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Pre-requisites for forceps delivery--
Bladder full
Cervix partially dilated
Head must be engaged.
Membrane intact.
Always in term baby.
