Exam 3 Abn Preggo 4 Flashcards

1
Q

Cephalopelvic Disproportion is?

A

Baby won’t fit thru pelvis

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2
Q

Cord Prolapse is?

A

Cord descends alongside or beyond presenting part

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3
Q

Cord Prolapse: Overt?

Funic?

Occult?

A

Cord visible

Palpable pulsatile mass

Fetal heart rate changes

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4
Q

Cord Prolapse tx? (3)

A

Trendelenburg
Reduce cord
Immediate C-Sec

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5
Q

Shoulder Dystocia is?

A

Emergency
Inability to deliver shoulders after head
Fetal damage/death

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6
Q

Shoulder Dystocia risk factors? (4)

A

Big baby
GDM
Obese mom
Postterm

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7
Q

Fetal Intolerance to Labor: Goal?

A

Recognize dangerous ∆s in O2

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8
Q

Early HR deceleration from?

Variable?

Late?

A

head compression

cord compression

uteroplacental insufficiency

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9
Q

Vaginal Birth after Cesarean Section (VBAC) maternal risks? (4)

A

Uterine rupture
Hysterectomy
Transfusion
Endometritis

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10
Q

VBAC fetal risks? (3)

A

Hypoxia
Acidosis
Death from placental rupture

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11
Q

Risks of multiple C-Sec? (2)

A

↑ operative injury from scarring

↑ placenta previa/accreta (deep attachment)

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12
Q

Postpartum Hemorr most C cause?

Leads to? (5)

A

uterine atony

Resp distress
Coag
Shock
Lost fertility
Pituitary necrosis (Sheehan's)
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13
Q

Postpartum Hemorr risk factors? (5)

A
Prolonged labor
Rapid labor
Episiotomy
Preeclamp
Chorioamnio
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14
Q

Postpartum Hemorr diagnostics? (3)

A

10%↓ in hct
Need for transf
S/S of blood loss: tachy, ortho ∆s, oliguria, shock

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15
Q

Postpartum Hemorr tx? (5)

A
Uterine massage
Pitocin
Methergine
Misoprostol
Surgery
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