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Flashcards in Abnormal Labour Deck (26):
1

What is TENS

Transcutaneous electrical nerve stimulation

2

What is TENS

Transcutaneous electrical nerve stimulation

3

Name an IM opiate analgesia you could give during labour

Morphine

4

An epidural may inhibit progress during which stage of labour?

Stage 2

5

What medicines would you give in an epidural?

Levobupivicaine +/- opiate

6

Complications of epidural

-Hypotension
-Dural puncture
-Headache
-Atonic bladder (40%)
-Back pain

7

How could you assess progress in labour?

-Cervical dilatation
-Descent of presenting part
-Signs of obstruction

8

Suspected delay (stage 1) in a nulliparous woman

9

Suspected delay (stage 1) in a parous woman

10

How often should you perform doppler auscultation of fetal heart during stage 1 of labour?

- During and after contraction
- Every 15 minutes

11

How often should you perform doppler auscultation of fetal heart during stage 2 of labour?

Every 5-10 minutes

12

Name an IM opiate analgesia you could give during labour

Morphine

13

An epidural may inhibit progress during which stage of labour?

Stage 2

14

What medicines would you give in an epidural?

Levobupivicaine +/- opiate

15

Complications of epidural

-Hypotension
-Dural puncture
-Headache
-Atonic bladder (40%)
-Back pain

16

How could you assess progress in labour?

-Cervical dilatation
-Descent of presenting part
-Signs of obstruction

17

Suspected delay (stage 1) in a nulliparous woman

18

Suspected delay (stage 1) in a parous woman

19

How often should you perform doppler auscultation of fetal heart during stage 1 of labour?

- During and after contraction
- Every 15 minutes

20

How often should you perform doppler auscultation of fetal heart during stage 2 of labour?

Every 5-10 minutes

21

Which nerves can you target with TENS?

T10-L1, S2-S4

22

What anaesthesia could cause atonic bladder?

Epidural

23

Suspected delay in stage 1?

24

Intra-partum fetal assessment

-doppler auscultation of the heart
-colour of amniotic fluid
-CTG

25

Normal baseline heart rate

Normal = 110-150 bpm
(tachycardia = >150, bradycardia =

26

Normal heart rate variability

5-25 bpm
(saltatory = >25, reduced =