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Doctors Medicines MCQs Q&A

  1. X
  2. Y
  3. Z
  4. A
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1 Answers

Option 1 : X

EXPLANATION:-

  • Partograph is a composite graphical record of key data ( maternal and fetal) during labor, entered against time on a single sheet of paper.
  • In Cervicograph ( Philpott & Caste — 1972), the alert line starts at 4 cm (WHO) of cervical dilatation and ends at 10 cm dilatation (at the rate of 1 cm/ hr).
  • The action line is drawn 4 hours to the right and parallel to the alert line.
  • In normal labor, the Cervicograph (cervical dilatation) should be either on the alert line or to the left of it. When it falls on Zone 2, it is abnormal and needs to be critically assessed.
  • When it falls in Zone 3 case should be reassessed by a senior person.
  • The decision is to be made either for termination of labor (cesarean section) or augmentation of labor (amniotomy and or oxytocin).

 

  • The components of a partograph are:
    • Patient identification;
    • Time — recorded at an hourly interval.
      • Zero time for spontaneous labor - is at  the time of admission in  the labor ward and
      • for induced labor - is the time of induction;
    • Fetal heart rate — recorded every 30 minutes;
    • State of membranes and color of liquor: to mark ‘I’ for intact membranes, ‘C’ for clear, and ‘M’ for meconium-stained liquor;
    • Cervical dilatation and descent of the head ;
    • Uterine contractions — the squares in the vertical columns are shaded according to duration and intensity;
    • Drugs and fluids;
    • Blood pressure (recorded in a vertical line) every 2 hours and pulse every 30 minutes;
    • Oxytocin — concentration in the upper box and dose (m IU/min) in the lower box;
    • Urine analysis;
    • Temperature record.

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