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OB MIDTERM EXAM

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Exam study book Handbook of Clinical Obstetrics of E. Albert Reece, MD, PhD, MBA, John C. Hobbins - ISBN: 9781405171847 (OB MIDTERM EXAM)

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OB MIDTERM EXAM NEWEST 2 LATEST VERSIONS 2024
(VERSION A AND B) COMPLETE 250 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Uterine Stretch Theory - ANSWER: When maximum stretch, uterus gives up and
random partial contractions occur

Rhythmic contractions lead to delivery of baby

Oxytocin stimulation theory - ANSWER: Causes uterine contractions

Probably a factor but is not the entire thing for labor

Progesterone withdrawal theory - ANSWER: End of pregnancy, these levels will drop
off

If not adequte levels, will likely have a miscarraige`

Fetal cortisol and placental degeneration theory - ANSWER: If you give sheep high
levels of cortisol, they will go into labor

Fetal membrane phospholipid-arachadonic acid-prostaglandin theory - ANSWER:
Precursor hormones in placenta that get into moms blood stream and more
hormones increase

See higher levels of these in women who are in labor

Contractions - ANSWER: Firing and shortening of muscle fibers in the uterus

Muscle fibers of the uterus run up and down. When they relax, the lengthen.
Eventually they will get very short over time.

Muscle fibers also spiral around the uterus towards the middle and bottom. Donut
shaped muscle fibers around the cervix

Fundus will get smaller and smaller

Duration of contraction - ANSWER: How long the contraction lasts

Contractions will come in waves. Muscle fibers relax and it goes away for a bit.
Contractions appear as mountains when monitoring

Frequency of contractions - ANSWER: How often

, Measure from start of one contraction through contraction to the start of another
contraction

*Never exactly the same

Intensity of contraction - ANSWER: How strong the contraction is

Can put hands on mom's tummy and can feel the uterus bunch up

Rock hard belly means pretty strong contraction

Internal pressure catheter - ANSWER: Measure the amount of millimeters of
mercury of amniotic fluid is putting pressure on this

Not all moms are internally monitored. If concerned about strength of the
contractions, it could be good to use

Dilation - ANSWER: How open the cervix is

As the pressure of the baby gets stronger, cervix will dilate and become more and
more open

What does a closed cervix mean? - ANSWER: Not dilated at all (about the size of a
pencil

What is the maximum dilation? - ANSWER: 100 cm

Babies head will fit through about 10 cm

C-section, will make incision to be about 10 cm

Effacement - ANSWER: Thickness/length of the cervix, "how tall your donut is"

As labor progresses, less cervix btw baby and outside world

Normal cervix is about 1 inch, with labor the cervix will become thinner

Measure by percentages (not effaced at all =0%)

Fully effaced - ANSWER: Probably about the thickness of paper

100% effaced

Station - ANSWER: Where the head is in relationship to the ischial spines

Engaged, ballotable, crowning

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