Conduct Of Normal Labor And Delivery Flashcards

0
Q

This fetal lie presents in over 99% of labors at term

A

Longitudinal

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1
Q

It is the relation of the long axis of the fetus to the mother

A

Fetal Lie

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2
Q

Predisposing factors in a transverse lie includes (4)

A

Multiparity
Placenta previa
Hydramnios
Uterine anomalies

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3
Q

This fetal lie fetal and maternal axes may cross at a 45 degree angle

A

Oblique lie

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4
Q

This lie is usually unstable and always becomes longitudinal or transverse during the course of labor

A

Oblique lie

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5
Q

Characteristic posture of the fetus in the later months of pregnancy

A

Fetal Attitude

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6
Q

Also known as Fetal Habitus or Posture

A

Fetal Attitude

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7
Q

Fetus forms an ovoid mass that correspond roughly to the shape of the uterine cavity

A

Fetal Attitude

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8
Q

Portion of the fetal body that is either foremost within the birth canal or in closest proximity to it

A

Fetal presentation

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9
Q

When thighs are flexed and the legs are extended over the anterior surface of the body

A

Frank breech

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10
Q

If the thighs are flexed on the abdomen and the legs upon the thighs

A

Complete breech

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11
Q

One or both feet or one or both knees are the lowermost

A

Incomplete breech or Footling breech

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12
Q

Refers to the relationship of an arbitrarily chosen portion of the fetal presenting part to the left or right side of the birth canal

A

Fetal Position

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13
Q

The shoulder presentation, the ____ is the portion of the fetus arbitrarily chosen for the orientation in the maternal pelvis

A

Acromion

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14
Q

Its is customary to refer all transverse lies simply as ___

A

Shoulder presentation

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15
Q

Another term used is transverse lie with ____

A

Back up or Back down

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16
Q

This Leopolds manuever is done when the examiner stands on the side of the bed and faces the patient

A

L1-2-3

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17
Q

This Leopolds maneuver is done when the examiner reverses this position and faces her feet for the last maneuver

A

L4

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18
Q

Leopolds maneuver is difficult if not impossible to perform and interpret if the patient ___ or ____

A

Obese

Placenta is anteriorly implanted

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19
Q

First maneuver is also know as ___

A

Fundal grip

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20
Q

Examiner gently palpates the fundus with the tips of the fingers of both hands to define which fetal pole is present in the FUNDUS

A

First maneuver

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21
Q

What can be interpreted in the first maneuver

A

Breech or Cephalic

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22
Q

When sensation of a large, nodular body

A

Breech

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23
Q

Hard and round which is more freely movable and balottable

A

Cephalic

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24
Second maneuver is also known as ___
Lumbar grip
25
The palms are placed on either side of the abdomen and gentle but deep pressure is exerted
Second maneuver
26
What can be determined in the second maneuver
Back or Extremities
27
This renders a hard and resistant
Back
28
This renders numerous small, irregular and mobile parts
Extermities
29
Other name for the third maneuver
Pawlik's grip
30
Using the thumb and fingers on one hand, the lower portion of the abdomen is grasped just above the symphysis pubis
Third maneuver
31
The other name of the fourth maneuver
Pelvic grip
32
The tips of the three fingers of each hands exert deep pressure in the direction of the axis of the pelvic inlet
Fourth maneuver
33
What can be detected in the fourth maneuver
Vertex presentation or Face presentation
34
The prominence is on the same side as the small parts
Vertex presentation
35
The prominence is on the same side as the back
Face presentation
36
What are the cardinal movement of labor
``` Engagement Descent Flexion Internal rotation Extension External rotation Expulsion ```
37
Mechanism by which the biparietal diameter, the greatest transverse diameter of the fetal head passes through the pelvic inlet
Engagment
38
Fetal head may engage during the ____ or ______
Last few weeks of pregnancy | Not until after the commencement of labor
39
Fetal head is freely movable above the pelvic inlet at the onset of labor
Floating head
40
The fetal head usually enters the pelvic inlet either ___ or ___
Transversely or obliquely
41
First requisite of birth of the newborn
Descent
42
In nulliparas, the engagement may take place ____ and further descent may not follow until ____
Onset of labor | Not follow until the onset of the second stage
43
In multiparous women, descent usually begins ___
With engagement
44
Descent is brought to you by one or more 4 forces:
1. Pressure of the amniotic fluid 2. Direct pressure on the fundus upon breech with contraction 3. Bearing down efforts of the maternal abdominal muscle 4. Extension and straightening of the fetal body
45
The chin is brought into more intimate contact with fetal thorax
Flexion
46
Suboccipitobregmatic diameter in flexion is substituted with ____
Occipitofrontal diameter
47
Consists of turning of head in such a manner that the occiput gradually moves toward the symphysis pubis anteriorly from its original position
Internal rotation
48
This is essential for the completion of labor, except when the fetus is ___
Internal rotation | Unusually small
49
This happens when the head presses upon the pelvic floor
Extension
50
2 forces involves in during extension:
1. Exerted by the uterus (acts more posteriorly) | 2. Resistant of the pelvic floor and the symphysis pubis (acts more anteriorly)
51
Delivered head undergoes reinstitution
External rotation
52
Brings its bisacromial diameter in the relation with the AP diameter of the pelvic outlet
External Rotation
53
Almost immediately after external rotation
Expulsiom
54
The anterior shoulder appear under the symphysis pubis
Expulsion
55
Perineum soon becomes distended by the posterior shoulder
Expulsion
56
After delivery of the shoulders, the rest of the body quickly passes
Expulsion
57
Its is the lateral deflection of the head to a more anterior or posterior position in the pelvis
Asynclitism
58
Two types of asynclitism
Anterior | Posterior
59
If the sagittal suture approaches the sacral promontory
Anterior asynctilism
60
More of the anterior parietal bone presents itself to the examining fingers
Anterior synctilism
61
The sagittal suture lies closes to the symphysis
Posterior asynctilism
62
More of the posterior parietal bone will present
Posterior asynctilism