Hi everybody, lets share viva questions and answers that you may have been asked during your practical exams/bed side learning/classes:
Lets begin with some questions (answers) :
Gyen/obs
What is
excess weight gain during pregnancy?
(>0.5kg weight gain/week and >2kg weight gain/month)
It is early manifestation of pre-eclampsia
What is
lochia and its composition?
It is vaginal discharge for the first fortnight during puerperium (originates from uterine body, cervix and vagina)
Types: lochia
rubra (red,1-4 days), lochia
serosa (pinkish yellow, 5-9 days), lochia
alba( pale white,9-15 days)
May extend to
3 weeks (if more may be abnormal, note the
odour, amount, colour, duration
Why the cord-cutting scissor is
round (curved) not pointed?
To prevent slipping of curd while cutting
To prevent injury to the surrounding structures(esp baby)
Uses of sponge holding forceps:
Toileting the vulva, vagina, perineum prior to and following surgery
Antiseptic painting
To catch hold the membranes if threatens to tear during or after delivery
To catch hold the cervix during suturing the cervical tear
What do you ask for menstrual history?
LMP
Age at menarche
Duration
Flow (amount)
Cycle
Dysmenorrhoea?
Any history of clots, foul smell of menstrual blood
What are the
advices you give on discharge:
For FTNVD
1. Normal diet,
2. Iron calcium for 45 days
3. Abstinence for at least 6 weeks
4. No heavy work at least for 3 months
5. Absolute breast feed for 6 months
6. Immunization of the child
7. ambulation
8. Maintainance of perineal hygiene
9. Antibiotics if indicated
10. F/U after 6 weeks or SOS
For
LSCS
All of the above and
1. Next pregnancy after 3 years only
2. Next delivery should be planned and should be conductecd in a hospital.
3. F/U after one week or SOS
What are the
criteria for normal labour?
1. full term
2. vertex presentation
3. spontaneous in onset
4. without undue prolongation
5. natural termination with minimal aids
6. no maternal and child complication
7. singleton pregnancy
Causes of
PPH (any amount of bleeding from or into the genital tract after the delivery of child and during the puerperium, which adversely affects the maternal condition and is characterized clinically by increase in pulse and decrease in BP.)
4 T's
1. tone ( Atonic uterus-80%)
2. tissue (retained tissue)
3. trauma (during or after delivery)
4. thrombus ( coagulative disorder)
causes of
APH (bleeding from or into the female genital tract after 28th week of pregnancy but before the birth of the baby, first and second stage of labour are thus included)
1.
placental,70%(placenta praevia,35% abruption placentae,35%)
2. unexplained,25% (excluding placental and local lesions)
3. extraplacental causes,5% (cervical polyp,carcinoma cervix,varicose vein,local trauma)
ANC visit
If possible, according to WHO
1. In every 4 weeks upto 28 weeks
2. in every 2 weeks up to 36 weeks
3. every week till EDD
if not possible, at least 4 ANC visits in
1. in 16th week
2. in 24-28 weeks
3. in 32nd week
4. in 36th week
Please do read this also,
Answers may not be exact, and if wrong/incomplete please suggest corrections
Bold questions/answers/points are important
Please go on adding
While adding questions, please write the answers as far as possible (even if you dont know the complete answer)
Please add very commonly asked/interesting questions not theory type
5th Semester : viva questions (an exam experience) -
14-12-2006, 03:31 AM
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