Obstetrics and gynecology attending physician normal delivery examination questions
(1) multiple choice questions
Al-type questions (single-sentence best multiple-choice questions)
1. The concept of pregnancy is correct.
A. giving birth within 20 weeks of pregnancy is an abortion.
B. The delivery from 28 weeks to 36 weeks of pregnancy is premature.
C term delivery is from 38 weeks to 4 1 week.
D. delivery is overdue after 43 weeks of pregnancy.
E. Fetal death during childbirth is called stillbirth.
2. The main function of productivity after labor is
A. Abdominal contractility B. Uterine contractility
C. levator ani contraction force
E. Diaphragmatic contractility
3. The characteristics of normal bone birth canal are correct.
A. the anterior-posterior diameter of pelvis is larger than the transverse diameter. B. The pelvic outlet plane is in the same plane.
C. the transverse diameter of the middle pelvis is longer than the anterior and posterior diameter. The anteroposterior diameter of pelvic outlet is smaller than the transverse diameter.
E. The median plane of pelvis is the smallest plane of pelvis.
4. The characteristics of normal bone birth canal are correct.
A. The shortest anteroposterior diameter is the anteroposterior diameter of the middle pelvis.
B the shortest transverse diameter is the transverse diameter of the pelvic population.
C the transverse diameter of the middle pelvis is equivalent to the centers of the two acetabulum.
D. The upper segment of pelvic axis is downward and backward, the middle segment is downward and the lower segment is downward and forward.
E. The normal pelvic inclination is 70.
5. The front of the pelvic population's anteroposterior diameter is
A.b. midpoint of superior margin of pubic symphysis
C. the midpoint of the inferior margin of pubic symphysis
E. posterior midpoint of pubic symphysis
6. The normal value of pelvic anteroposterior diameter is
A.9cm cm cm b. 10 cm
C. 1lcm D. 12cm
East13cm
7. The normal value of female pelvic inclination is
50 and 55
C.60 D.65
E.70
8. The change of cervix after delivery is correct.
A. Primiparas usually have cervical canal disappearance and cervical dilatation at the same time.
B. The cervical canal disappears first, and then the cervix dilates.
C. When the cervical canal disappears, it first forms a funnel shape, and then gradually shortens until it disappears.
D. after the formation of the anterior amniotic sac, the cervix is not easy to expand.
E. After the rupture of the membrane, the exposed part of the fetus directly compresses the cervix, which affects the expansion speed of the cervix.
9. The concept of normal fetal delivery mechanism is correct
A. Convergence: The lowest point of fetal skull approaches or reaches the level of sciatic spine.
B. decline: it is continuous and runs through the whole process of delivery.
C. flexion: the position of fetal head is the lowest after flexion.
D. Internal rotation: the fetal head reaches the pelvic outlet and rotates according to the longitudinal axis of the pelvis.
E. upward extension: the fetal head and chin are close to the chest.
10. The mechanism of occipital anterior delivery is correct.
A. the fetal head will bend when it enters the pelvic group.
B. the descending movement runs through the whole delivery process.
C. the descent is continuous.
D after flexion, the fetal head passes through the birth canal with occipital frontal diameter.
E. Internal rotation occurs when the lowest point of fetal skull reaches the maximum plane of pelvis.
1 1. The delivery mechanism of the right anterior occipital position is correct.
The sagittal suture of fetal head is located on the right oblique diameter of pelvic population.
B. the tire headrest is bent due to the resistance of lifting anus.
C when the fetal head descends and reaches the external vaginal opening, it will rotate inward.
D. When the fetal head rotates internally, the occipital part rotates 45 degrees to the right.
E. After the fetal head is delivered, its occipital part rotates 45 degrees to the left for reset.
12. the correct delivery mechanism of occipital left anterior position is
The sagittal suture of fetal head is located in the left oblique diameter of pelvis.
B. when the fetal head reaches the middle of the pelvis, flexion will occur.
C. Internal rotation is completed in the early stage of the first stage of labor.
D, the fetal head descends to the outside of the vaginal opening, and the fetal head extends upwards.
E. After the fetal head is delivered, the occipital part rotates 90 degrees to the right.
13. The fetal position where the sagittal suture of fetal head is consistent with the right oblique diameter of pelvic population is
A. Right occipital position B. Right occipital transverse position
C. occipital left transverse position D. occipital left anterior position
E. occipital left posterior position
14. When the fetal head in the left anterior occipital position enters the pelvic group, the connecting diameter is
A. Double top diameter
C. diameter of suboccipital anterior fontanel
E. occipital mental diameter
15. After the fetal head is exposed under the pillow and reaches pelvic floor flexion, the diameter line that adapts to the continuous decline of the birth canal is as follows
A. occipital forehead diameter B. biparietal diameter
C. diameter of suboccipital anterior fontanel D. twice the diameter of temporal part
E. occipital mental diameter
16. After buckling, the position where the fetal head rotates inward in the occipital anterior position is
A. Population plane of pelvis B. Maximum plane of pelvis
C. Middle pelvic plane D. Pelvic outlet plane
E. pelvic floor
17. When the fetal head in the occipital anterior position passes through the soft birth canal, it rotates inward to make the fetal head
Sagittal suture is consistent with the transverse diameter of pelvis.
B the sagittal suture is consistent with the transverse diameter of the middle pelvis.
The sagittal suture is consistent with the anteroposterior diameter of the middle pelvis and pelvic outlet.
D. the anterior fontanel is transferred to the pubic arch.
E. the posterior fontanel turns to the front of the sacrum.
18. When the fetal head in the occipital anterior position descends to the vaginal opening and extends upward, the shoulder diameter enters.
A. Anterior and posterior diameter of pelvis B. Transverse diameter of pelvis
C pelvic inclination diameter d pelvic anteroposterior diameter
E. transverse diameter of middle pelvis
19. The shortest tire head diameter line is
A. biparietal diameter B. occipital frontal diameter
C. diameter of occipital chin D. diameter of suboccipital anterior fontanel
E. Double temporal diameter
20. What is the longest fetal head diameter line?
A. biparietal diameter B. occipital frontal diameter
C. diameter of occipital chin D. diameter of suboccipital anterior fontanel
E. Double temporal diameter
2 1. The reliable omen of delivery is
A. Fake delivery B. Seeing red
C. active fetal movement
E. hCG in urine increased significantly.
22. The general stage of labor and the stage of labor are correct. Yes
A. From the regular contraction of the uterus to the delivery of the fetus, the whole labor process is called.
B The first stage of labor for primiparas takes about 14 ~ 16 hours.
It takes a parturient about 10 ~ 12 hours in the first stage of labor.
D. The primipara needs about 1 ~ 2 hours in the second stage of labor.
E. The third stage of labor takes about 30 minutes.
23. The normal time from fetal delivery to placental delivery is
A.5 ~ 10 minutes, no more than 15 minutes B.5 ~ 10 minutes, no more than 25 minutes.
C.5~ 15 minutes, no more than 30 minutes; D. 10~20 ~ 20 minutes, no more than 30 minutes.
E.20 ~ 30 minutes, no more than 60 minutes.
24. The clinical manifestations of normal delivery are correct.
A. After the primipara is in labor, the fetal head is mostly in the basin. B. Rupture of fetal membranes is mostly at the cervix.
C. The parturient holds her breath and forcibly opens the cervical opening. D. The physiological contraction ring can often be seen in the flat navel.
E. The third stage of labor lasts more than 30 minutes.
25. The clinical course of the first stage of normal delivery is correct.
A. Natural rupture of fetal membranes mostly occurs when the fetal head enters the pelvic crowd.
B. the physiological contraction ring can sometimes reach the umbilical level.
C. Most primiparas lose the cervical canal first and then dilate the cervix.
D. listen to fetal heart rate/kloc-0 every 4 hours.
E. instruct parturient to apply abdominal pressure during uterine contraction.
26. The accelerated phase of the active phase of the first stage of labor refers to cervical dilatation.
A. 0 ~ 3 cm b. 3 ~ 4 cm
It is 4 ~ 6m long and 6 ~ 7cm wide.
E.7~8cm
27. The deceleration period of the active phase of the first stage of labor refers to cervical dilatation.
A. 5 ~ 6 cm b. 6 ~ 7 cm
C. 7 ~ 8 cm d. 8 ~ 9 cm
E.9~ 10cm
28. The maximum acceleration period of the active stage of the first stage of labor refers to cervical dilatation.
A.2 ~ 7 cm b.3 ~ 8 cm
C.4 ~ 9 cm diameter 5 ~ 10 cm
E.7~ 10cm
29. Anal examination after delivery to understand the degree of fetal head decline, the most commonly used bone sign is
A. Sacral promontory B. Sciatic tubercle
C. Sciatic spine D. After pubic symphysis
E. sacral fossa
30. The main sign of entering the second stage of labor is
A. Anal sphincter relaxation B. Fetal head exposure
C. The head of the fetus is crowned. The width of the cervix is 10 cm.
E. vulvar swelling
3 1. In vaginal examination, the meaningful cranial suture combined with fontanel to determine the fetal position is
A. herringbone seam B. sagittal seam
C. coronal suture D. temporal suture
E. forehead suture
32. After delivery, the degree of fetal head decline after occipital lobe presentation is based on
A. the pelvic population plane is a sign. The plane of ischial spine is the sign.
C. mark the pelvic outlet plane. Mark the maximum plane of pelvis.
K. marking the external vaginal orifice
33. After the cervix is completely opened, the time to start protecting the perineum is
A. when the fetal hair is seen through the vaginal opening B. when the fetal head begins to emerge.
C. Shortly after the fetal head is exposed. D. when the fetal head is exposed and the joints are tense.
E. when the fetal head starts to bulge.
A2 questions (best multiple-choice questions for medical record abstracts)
34.30-year-old primipara, 40 weeks pregnant, with regular uterine contraction, left occipital anterior position, good fetal heart and open anus.
2cm, the fetal head is not connected, and the pelvic measurement data conforms to the actual situation of the parturient.
A. The diameter between sacrospinals is 24 cm. B. The external diameter of sacrum is 17cm.
C the diameter between sacral ridges is 27 cm. The diameter between the ischial spines is 65438 00 cm.
E the diameter between ischial tubercles is 8.5cm.
A 35.24-year-old primipara had a regular uterine contraction of 65,438 02 hours. The cervix widened from 6cm to 7cm for 2 hours.
The fetal head is below spinous process 1cm, and the fetal heart 140 times/min. The correct handling of this case should be
A. closely observe the labor process B. intramuscular injection of pethidine 100mg
C. intravenous injection of oxytocin D. artificial rupture of membrane immediately
E. perform caesarean section immediately.
36.26-year-old primipara, pregnant for 39 weeks, with regular contractions for 8 hours, blood pressure 1 10/70mmHg, and normal pelvis.
Size, predict the fetal weight of 2700g, the left anterior position of the pillow, the normal range of fetal heart, and the width of the uterine orifice of anal examination is 3cm, and it will be presented first.
The correct treatment of spinal flattening should be
A. there is no need to interfere with the delivery process. B. intravenous diazepam 10 mg
C. intravenous slow injection of 25% magnesium sulfate16 ml D. intravenous injection of oxytocin
E. artificial membrane breaking
37.26-year-old primipara, 42+l weeks pregnant, with regular contractions 10 hour. Check the fetal size and estimate the weight.
3800g, left occipital anterior position, fetal head floating high, fetal heart 166 beats/min. The pelvis is normal in size, the cervix is 2 cm wide, and urine.
The ratio of estrogen to creatinine is 7. In this case, the appropriate delivery method should be
A. intravenous injection of oxytocin accelerates delivery.
B. When the uterus is opened, forceps will be used to assist delivery.
C, waiting for the uterus to open, and performing fetal head suction assisted delivery.
D. Left lateral position, oxygen inhalation, intravenous injection 10% glucose solution.
E. Cesarean section as soon as possible
Class A3 questions (the best multiple-choice questions in the medical record group)
(Questions 38-39)
26-year-old primipara, 40 weeks pregnant, with regular contractions for 8 hours. Examination: The diameter between iliac spines is 25 cm, which is outside the sacrum.
The diameter is 20cm, the diameter between ischial tubercles is 7.5cm, the fetal heart rate is 65438 034 beats/min, and the anus is 4cm wide.
Three hours after the first "O", the parturient complained of unbearable abdominal pain, and the uterine contraction was checked every 1 ~ 2 minutes for 45 seconds to detect the fetal heart rate.
102 times/minute, the tenderness of the lower uterine segment is obvious. Anal examination opened cervix 5cra, fetal head "0".
38. At this time, the main reasons for the blocked labor process are
A. People with narrow pelvis B. Flat pelvis
C. Middle pelvic stenosis D. Pelvic outlet stenosis
E. Funnel pelvis
39. The most likely diagnosis at this time is
A. coordinated uterine contraction is too strong. B. uncoordinated uterine contraction is too strong
C. uncoordinated uterine atony D. threatened uterine rupture
E. Ⅲ degree placental abruption
(Question 40-4 1)
A 34-year-old married woman was pregnant for 36 weeks, with regular contractions 10 hour and rupture of membrane for 3 hours. Check the duration of uterine contraction
20 ~ 25 seconds, intermittent 7-8 minutes, cervical width 8cm, fetal heart rate 160 times/minute, and vaginal examination of sciatic spine.
The diameter between ischial tubercles is 7.5cm, and the fetal head is "0".
40. The possible diagnosis of this situation is
A. Older primipara B. Narrow pelvic population
C. Pelvic population and outlet stenosis D. Pelvic outlet stenosis
E. middle pelvis and outlet stenosis
4 1. recheck the uterus length of 33cm, abdominal circumference of 96cm, fetal heart rate 170 times/min. At this time, the improper handling is
A. Oxygen inhalation B. Non-stress test
C. intravenous broad-spectrum antibiotics D. cesarean section
E. intravenous drip of sodium bicarbonate
A4 questions (the best multiple-choice questions in medical records)
(Questions 42-46)
25-year-old pregnant woman, 39 weeks pregnant, irregular contractions for 2 days, bloody mucus in vagina, blood pressure 136/
96mmHg, uterus length 38cm, abdominal circumference 106cm, fetal heart 158 beats/min, contractions lasting 32 seconds, with an interval of 5.
After a few minutes, anal lcm and oxytocin provocation test showed early deceleration.
The diagnosis of this case is incorrect.
A. Threatened delivery B. Giant fetus
C. Full-term live birth
E. Pregnancy-induced hypertension
43. The puerpera will be enema with warm soapy water after admission. After 1 hour, the contractions are frequent, lasting for 40 seconds, with an interval of 2 ~.
3 minutes, fetal heart rate 140 times/min, presentation of S- 1, uterine orifice 2cm, blood pressure 130/88mmHg. This is not the right time.
The treatment is
A. encourage eating and increase nutrition B. listen to the fetal heart every 1 hour.
C. check whether there is a headless basin. D. Left position
E. intravenous injection of oxytocin accelerates delivery.
44. After labor 18 hours, the contractions are weakened and thinned, the fetal heart rate 150 times/minute, and the anal examination is 2cm wide, which is displayed first.
0, blood pressure 120/90mmHg, urine protein (+/-), asymptomatic. The correct diagnosis at this time should be
A. Primary uterine atony B. Prolonged latency of the first stage of labor
C. Active extension D. Fetal distress in the first stage of labor
E. Pregnancy-induced hypertension
45. According to the above situation, the most inappropriate treatment at this time is
A. Emergency examination of placental function. B. Left position
C. Intermittent oxygen inhalation D. Vaginal examination to understand the relationship between head and pelvis
E. intravenous drip of hydralazine
46. Check again in labor 18 hours, with contractions of 45 seconds and intervals of 3 minutes. Fetal heart monitoring showed fetal heart rate 165.
Times/min, frequent late deceleration, rupture of fetal membrane, yellow-green amniotic fluid, blood pressure 144/90mmHg, vaginal examination.
The cervix is fully open, and S+4 is exposed first. At this time, the emergency treatment should be
A. intravenous drip of hydralazine B. intravenous drip of magnesium sulfate
C. forceps operation. D. cesarean section immediately.
E. static push glucose solution+vitamin C.
(Questions 47 to 50)
23-year-old primipara, 39 weeks pregnant, with regular contractions for 3 hours, right occipital position, fetal heart rate 136 beats/min, pelvis.
There is nothing unusual in external measurement. The biparietal diameter of fetal head measured by B-ultrasound is 9.6 cm, and the cross section of sheep is 3.0 cm.
47. At this time, the most appropriate disposal method should be
A. Cesarean section B. Intravenous injection of oxytocin
C. slow intravenous injection of energy mixture D. intramuscular injection of vitamin k 1
E. closely observe the progress of labor.
48. It was observed that the latency of the first stage of labor reached 17 hours, and the uterus contracted every 8 ~ 10 minutes for 30 minutes.
Second obstetric examination: fetal heart rate 142 times/min, fetal head in the basin, S+ 1, pregnant woman complained of dysuria, and the examination was flatulence.
Gas. At this point, the processing should be
A. Catheterization and indwelling catheter B. Cesarean section
C. intravenous diazepam 10 mg D. intravenous oxytocin.
E. artificial membrane breaking
49. After treatment, the uterine contraction is normal, the fetal head drops, S+2, and the width of the cervix is 5cm. At this time, the most appropriate treatment should be
A. intravenous injection of oxytocin B. artificial rupture of membrane
C. let the parturient use abdominal pressure D. warm soapy water enema.
E. caesarean section
50. The cervix is opened for 2 hours, the contractions are weakened, and the pelvic cavity is emptied after anal examination. Vaginal examination S+4, fetal head fontanel
On the left front of the pelvis. The treatment method at this time should be
A. perform caesarean section
B, lateral perineal incision, righting the fetal head with bare hands, and midwifery with forceps.
C. Intravenous injection of oxytocin accelerates the delivery process and delivers naturally through vagina.
D. oxygen inhalation and intravenous diazepam.
E. vitamin c is added to the glucose solution by intravenous injection, and pethidine is injected into the muscle at the same time.
Class b problems (compatibility problems)
(Question 5 1-55)
A. the distance from the lower edge of pubic symphysis to the midpoint of the upper edge of sacral promontory
B the distance from the midpoint of the lower margin of pubic symphysis to the lower end of sacrum.
C. Distance between bilateral ischial spines
D. the distance from sacrococcygeal joint to the midpoint of ischial tubercle.
E. Distance between bilateral ischial tubercles
5 1. Transverse diameter of pelvic outlet
52. Transverse diameter of middle pelvis
53. Anterior and posterior diameter of middle pelvis
54. Diagonal diameter
55. Sagittal diameter after exit
(Questions 56-57)
A. mannitol B. pethidine
C. hibernation mixture D. sodium nitroprusside
E. magnesium sulfate
56.26-year-old pregnant woman, 39 weeks pregnant, blood pressure 160/ 100mmHg, urine protein 2.5g/24h, no signs of labor,
The preferred drug at this time should be
1 A 57.24-year-old primipara suffered from persistent pain in the lower abdomen after delivery, refused to press, and had slow cervical dilatation and flatulence.
If the head and basin are not weighed, the preferred medicine at this time should be
(Questions 58-60)
A. Prolongation of incubation period B. Active prolongation
C. Stagnation of active phase D. Prolongation of the second stage of labor
E. Stagnation of the second stage of labor
58.28-year-old primipara, 40 weeks pregnant, delivered at 5: 00 a.m. 14: 00, opened the cervix 4cm, and opened it at 23: 00.
7cm, the diagnosis at this time is
59.25-year-old primipara who has not given birth for more than 2 hours should be diagnosed as
60.29-year-old primipara, pregnant for 39 weeks, had regular contractions at 4: 00 a.m., 10, and spontaneous rupture of membrane at 20: 30.
Check that the opening of the uterine mouth is 2cm wide, and it should be diagnosed as
(Question 6 1 ~ 63)
A the diameter between iliac crests is 23 cm.
Outside diameter of sacrum16.5cm.
C the diameter between the ischial spines is 9 cm.
D. the diameter between ischial tubercles is 8. Thoracotomy and heart massage
E. the transverse diameter of the outlet plus the vector diameter after the outlet is14.5cm.
6 1. Pelvic entrance stenosis
62. Middle pelvic stenosis
63. Pelvic outlet stenosis
(1) multiple choice questions
Type a problem
1.e After delivery, it is confirmed that the fetus is alive, and it dies during delivery. If there is no sign of life after birth, it is called death.
Production, the rest of the time definition is wrong.
2.b Uterine contractility is the main labor force after delivery.
3. The pelvic plane in E is the smallest plane of the pelvis.
4.d It is correct that the upper segment of pelvic axis is downward and backward, the middle segment is downward and the lower segment is downward and forward.
5.b The front end of the anteroposterior diameter of the pelvic population is the midpoint of the upper margin of the pubic symphysis.
6.c The normal pelvic anteroposterior diameter is 1 1cm.
7.c The normal value of female pelvic inclination is 60, and everything else is wrong.
8.c In the process of normal parturient's cervical canal disappearing, it first forms a funnel shape, and gradually shortens until it disappears.
9. Convergence refers to the process that the lowest point of fetal skull approaches or reaches the level of sciatic spine.
The downward movement of 10.b runs through the whole delivery process, but it is intermittent with the intermittent contraction.
1 1 the resistance of lifting anus on the headrest. B tire is an important reason for buckling.
12.d When the fetal head descends to the vaginal opening, the fetal head rest will extend backwards with the pubic arch as the fulcrum, and the fetus will also extend.
Head delivery.
13. The sagittal suture of fetal head is consistent with the right oblique diameter of the pelvic population in front of the left occipital.
14.d The connecting diameter line when the fetal head in the occipital left anterior position enters the pelvic group is the occipital frontal diameter.
/kloc-after 0/5. During flexion, the fetal head continues to descend, and the diameter of the suboccipital fontanel is the smallest.
Internal rotation of 16. C is in the middle of the pelvic plane.
Internal rotation of 17. C is to make the sagittal seam of fetal head consistent with the anterior and posterior diameters of the middle pelvis and pelvic outlet, which is convenient for supination and extension.
18.c When the fetal head in occipital position descends to the vaginal opening and extends upward, the shoulder diameter enters the oblique diameter of pelvic population.
19. The shortest fetal head diameter line is twice the temporal diameter.
20. The longest fetal head diameter line is the occipital mental diameter.
2 1 red. B is a reliable sign of the threat of labor.
22.d The primipara in the second stage of labor takes about 1 ~ 2 hours, and the rest are wrong.
23.c The time from the delivery of the fetus to the delivery of the placenta is the third stage of labor, which is generally 5 ~ 15 minutes, not exceeding 30.
Minutes.
24. It is correct that many fetal heads enter the basin after the primipara gives birth.
25.c Most primiparas lose the cervical canal first, and then the cervix dilates.
26. the accelerated phase of b active phase refers to cervical dilatation of 3 ~ 4 cm.
27. the deceleration period of e active phase refers to cervical dilatation of 9 ~ 10 cm.
28. The maximum acceleration period of C active phase refers to cervical dilatation of 4 ~ 9 cm.
29. The ischial spine is an important sign of fetal head descent.
30. Opening l0cm at the D palace mouth is a sign of entering the second stage of labor.
3 1.b sagittal suture combined with fontanelle is the main sign to evaluate fetal position during delivery.
32, b Sciatic spinous plane is the sign of fetal head descent.
33.d After the fetal head is exposed, the bonding tension will protect the perineum.
34.B pelvic entrance stenosis is the main reason for the healing of fetal head deformity after delivery, and B conforms to pelvic entrance stenosis.
Situation.
35.d The patient has entered the maximum acceleration period of active period, and the labor process is long, which may lead to poor physical strength.
In this case, artificial rupture of membrane can help speed up the labor process.
36.a The patient's labor process is progressing smoothly, and there is no obvious imbalance between head and pelvis, so no intervention is needed for the time being.
37.e This situation is considered to be that the pregnancy is overdue, the fetal head is high and floating, and it is asymmetrical with respect to the head and basin. Cesarean section is the best way to terminate pregnancy.
38. Considering the pelvic outlet stenosis, the diameter between ischial tubercles in this case is 7.5 cm.
39.d Symptoms and signs such as pelvic stenosis, obstructed fetal head descent, maternal abdominal pain, and tenderness of the lower uterine segment,
Threatened uterine rupture should be considered.
40.E In this case, the diameter measurement between the ischial spine and ischial tubercle conforms to the E option.
4 1.b is a stress test of uterine contraction.
42. A. This case has regular uterine contraction, accompanied by cervical dilatation, which belongs to the category of labor.
43. The intensity and frequency of E contractions are appropriate, and there is no need for drugs to strengthen contractions.
44.b The incubation period in this case is longer than the maximum time limit 16 hours, so the incubation period should be extended.
45.e In this case, the blood pressure can't meet the standard of using intravenous antihypertensive drugs.
46.c The cervix has been completely opened and there is fetal distress. The delivery should be ended with forceps as soon as possible.
47. No obvious signs of cephalopelvic asymmetry and fetal hypoxia were found, so the labor process can be closely observed.
48. The incubation period of this case is prolonged, and the uterine contraction is irregular. Sedatives should be used to rest.
49. B. After rest, the labor process is smooth, artificial rupture of membrane is helpful to speed up the labor process, and amniotic fluid is used to evaluate the fetus.
Situation.
50.b In this case, the fetal head is already low, and the cervix has been opened for 2 hours, and the maternal body has already appeared weak.
Economic signs, should be assisted by surgical midwifery as soon as possible to end the delivery.
Type b problem
5 1. The transverse diameter of pelvic outlet refers to the distance between bilateral ischial tubercles.
52. The transverse diameter of pelvis C refers to the distance between the ischial spines on both sides.
53. The anteroposterior diameter of pelvis in B refers to the midpoint of the lower edge of pubic symphysis, passing through the midpoint of the connecting line of bilateral ischial spines to the lower end of sacrum.
The distance between them.
54. Diagonal diameter a refers to the distance from the lower edge of pubic symphysis to the midpoint of the upper edge of sacral promontory. (From the midpoint of the lower margin of pubic symphysis to
The distance from the midpoint of the upper edge of the sacral promontory is the anteroposterior diameter of the pelvic entrance, also known as the true union diameter, which can be subtracted from the diagonal diameter by 1.5 ~ 2 cm.
Get it later. )
55. The sagittal diameter after exit D refers to the distance from sacrococcygeal joint to the midpoint of ischial tubercle.
56.e In this case, magnesium sulfate is the first choice for spasmolysis.
57.b In this case, the uncoordinated uterine contraction is considered too strong, and pethidine is given to inhibit and regulate the uterine contraction.
58. Active expansion is considered in this example.
59.d The second stage of labor for primiparas generally does not exceed 2 hours, so the second stage of labor should be extended.
60.a In this case, the incubation period exceeds 16 hours, so the incubation period is prolonged.
6 1.b The external diameter of sacrum is less than 18cm, considering the narrow pelvic population.
62.c The diameter between ischial spines is less than 10cm, considering pelvic stenosis.
63. Considering the pelvic outlet stenosis (the diameter between ischial tubercles), the transverse diameter of outlet E plus the sagittal diameter after outlet is less than 15cm.
The sagittal diameter should be measured after < 8.0 cm exit).
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