Amanda is 39 weeks gestation and has arrived in the birthing suite experiencing painful, regular uterine contractions in the first stage of labour.
Her previous obstetric history shows two spontaneous vaginal births, experiencing a postpartum haemorrhage with her first birth and her current antenatal history is: negative blood group, non-immune to rubella, nil antibodies and normal BPs during this pregnancy. The correct procedure is to:
a. attend a CTG to determine the FHR.
b. attend intermittent auscultation every 15 minutes with a Pinard stethoscope or Doppler.
c. attend intermittent auscultation every 5 minutes with a Pinard stethoscope or Doppler.
d. perform continuous CTG monitoring.
Question 2
During a spontaneous vaginal birth, it is recommended:
a. to check for a nuchal cord.
b. not to check for a nuchal cord.
c. to check for a nuchal cord and cut and clamp if tight.
d. to check for a nuchal cord and slip over baby's head if loose.
Left: This web was woven by a 17-day-old spider, showing regular patterns. Right: This web was woven
4 weeks old embryo
19 weeks old human fetus
24 weeks old human fetus
Descartes’ Explanation of a Reflex Action to a Painful Stimulus
The first pioneer species arrived less than a decade after the eruption.