Labor And Delivery; Anesthesia Flashcards Preview

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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

What is the most common complication encountered during epidural anesthesia?

Hypotension