Flashcards in Labor And Delivery; Anesthesia Deck (42):

1

## Quantifiable method used to predict labor induction outcomes

### Bishop score

2

## Bishop score components

###
SPCED

Station

Position

Consistency

Effacement

Dilation

3

## Safest drug for induction

### Oxytocin

4

## What term is used when the anterior fontanel is the presenting part?

### Sinciput

5

## Rate of cervical dilatation in nullipara and multipara

###
Nullipara-1.2 cm per hour

Multipara- 1.5 cm per hour

6

## Prolonged latent phase in nullipara

### 20 hrs

7

## Prolonged latent phase in multipara

### 14 hours

8

## Postion of fetus upon entering the maternal pelvis

### LOT

9

## Greatest transverse diameter in an occiput presentation

### Biparietal diameter

10

## Pelvic inlet corresponds to this structure

### Linea terminalis

11

## Lateral deflection of the saggital suture either posteriorly toward the promontory or anteriorly toward the symphysis

### Asynclitism

12

## The linea terminalis consists of 3 structures

###
Pubic crest

Pectineal line

Arcuate line

13

## Promontory to upper margin of symphysis is what diameter

### True/Anatomic conjugate

14

## True conjugate measures

### 11cm

15

## Promontory to the posterior symphysis is what diameter

### Obstetric conjugate

16

## The obstetric conjugate is measured by

### Subtract 1.5-2 cm from diagonal conjugate

17

## Obstetric conjugate is normally

### >10cm

18

## The only conjugate that is measured manually

### Diagonal conjugate

19

## Diameter that is from the promontory to the lower margin of the symphysis

### Diagonal conjugate

20

## What is the normal value of the diagonal conjugate

### 11.5cm

21

## This diameter measures the greatest diameter between the linea terminalis

### Transverse conjugate

22

## Normal transverse conjugate

### 13cm

23

## First requisite for birth of the newborn

### Descent

24

## Cardinal movement that is essential for the completion of labor

### Internal rotation

25

## The goal of the third stage of labor is

### Prevent uterine inversion

26

## Signs of placental separation

###
Globular fundus

Sudden gush of blood

Lengthening of cord

Rise of uterus in the abdomen

27

## Perineal laceration up to the perineal body

### 2nd degree

28

## Perineal laceration up to the anal sphincter

### 3rd degree

29

## Perineal laceration up to the rectal mucosa

### 4th degree

30

## Must give oxytocin 10 units IM after the delivery of

### Anterior shoulder

31

## Indication of operative vaginal delivery includes

### Prolonged second stage

32

## Forceps is properly handled by

###
Pencil grip

Vertical insertion

Right thumb directing

33

## Engagement and descent of breech include that the _____ diameter is in the oblique diameter

### Bitrochanteric

34

## Does the anterior or posterior hip descend more rapidly in breech?

### Anterior

35

## Frank breech decomposition is also called this maneuver

### Pinard

36

## Breech extraction where both feet are grasped through the vagina

### Complete breech extraction

37

## In partial breech extraction, the fetus is allowed to spontaneously deliver up to the level of the

### Umbilicus

38

## Incision on the cervix at 2 and 10 o clock position to minimize bleeding from the uterine artery branches

### Dührssen incision

39

## Delivery of the aftercoming head is done through this maneuver

### Mauriceau

40

## What is the direct cause of most maternal deaths involving regional anesthesia

### High spinal blockade

41

## What anesthetic is associated with neurotoxicity and cardiotoxicity in the same serum levels?

### Bupivacaine

42