Chapter 1, Problem 4RP

Describe the physiology of the first stage of labour.

58. Consider the circuit shown below. Find 11, 12, and I3 when (a) the switch S is first closed, (b) after the currents have reached steady-state values, and (c) at the instant the switch is reopened (after being closed for a long time). 1 R1 ww 13 12 E S 0000 ww R2

Regularity- Rate- P waves- PRI- QRS- Interpretation-   Normal sinus rhythm, sinus bradycardia, sinus tachycardia, sinus arrhythmia, sinus pause, sinus arrest, normal sinus with PACs, atrial fibrillation, atrial flutter, multifocal atrial tachycardia, wandering atrial pacemaker, supraventricular tachycardia, junctional rhythm, accelerated junctional rhythm, junctional tachycardia, premature junctional complex, premature ventricular complex, ventricular tachycardia, ventricular fibrillation, idioventricular rhythm, accelerated idioventricular rhythm, asystole, first-degree AV block, second-degree AV block type I (Wenckebach), second-degree AV block type II (Mobitz II), third-degree AV block (complete heart block), bigeminy, trigeminy, quadrigeminy, couplet,somatic tremor,AC interference,wandering baseline and etc (answer correctly using the 5 step method and only use those terms above)

76. 80. 81. 82. 83. 33

69. 70. 71. 72. 73. 74.

63. 64. 65. Rhythm: P wave: QRS Complex: Rate: PRI: Interpretation: Rhythm: P wave: QRS Complex: 66. 67. 68. Rhythm: P wave: QRS Complex: Rhythm: P wave: QRS Complex: Rate: PRI: Interpretation: Rate: PRI: Interpretation: Rate: PRI: Interpretation:

59. 57. 60. 62. 55. سلسلہ ་་་་

• Define the first stage of labour. • Describe the physiology of the first stage of labour. • Enumerate any four (4) potential complications during puerperium and highlight key measures to manage these complications.

• Define obstetric emergencies and state and briefly explain any two (2) maternal, foetal, and obstetric complications that require immediate intervention. • Explain how mental health services can be effectively integrated into maternal and child health, viz-a-viz early childhood development. • Enumerate any four (4) foetal malpresentations in pregnancy and briefly explain their implication in labour while also highlighting their causes and possible complications.