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Flashcards in labor and delviery Deck (30)
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1

1st day of the last LMP=

gestational age

2

stages of labor

cervical
expulsion
placental

3

cervical stage starts with ____ ends with____

starts with labor ends with dilation of the cervix

4

expulsion stage requires mom to push and ends with

delivery of baby

5

placental stage

begins with delivery of baby ends with delivery of the placenta 5-10 minutes

6

Cardinal movements of baby during labor

engagement
descent
flexion at the neck
Internal rotation neck
extension at the neck
external rotation at the neck
expulsion

7

Dystocia

labor that doesn't progress as expected

Protraction (cervix isn't dilating fast or baby isn't descending fast enough) or

arrest (dilatataion and descent stops)

8

emergent complications

cord prolapse and shoulder dystocia

9

causes or dystocia power tx:

uterine isn't contracting fast engough

oxytocin

10

passenger dystocia caused by

macrosomia

11

passage dystocia caused by

birth canal (true pelvis)

12

plus station=

head by the ischial spines

13

issues with pelvis related to dystocia

pelvic inlet (anterior to posterior of pelvic inlet) (obstetric conjugate)

sacral contour

bony prominences

14

how do you approximate the obstetric conjugate?

measure the diagonal conjugate transvaginally
finger hits the sacral promontory and pubic symphisis distance

this overestimates distance

15

ideal pelvic type?

gynecoid

16

Which pelvic type poses a good amount of issues because of the narrowing of the pubic arch?

android

arrest of descent

17

anthropoid is wider where?

front to back.

enter looking forward or back (looking up at the pubic bone)

issues?
arrest of descent or persistent occiput posterior

18

issue with flat/platepelloid

wider side to side and baby can rotate

19

Cord prolapse types

funic presentation

occult prolapse

overt prolapse

20

Which cord prolapse is most common and what is it?

overt prolapse, umbilical cord is descending down through cervix

seen a lot in AROM (induced water breaking)

21

Breeches

Frank
Complete
Footling

22

which breech predisposes to cord prolapse

Footling

23

what do you do if you break the water and you feel a cord prolapse?

keep exam hand in the uterus to hold baby up off the cord

call for help prep for C section

24

manipulating cord risk of?

vasospasm

25

shoulder dystocia

shoulders trapped behind pelvis

risk of asphyxia
maternal hemrhg

26

risks of shoulder dystocia

macrosomia, maternal diabetes, obesity, post term gestation, previous history of macrosomia

27

turtle sign?

head pops back up.....possible shoulder dsytocia

28

mgmt of shoulder dystrocia

knees up to chest (mcroberts)

suprapubic pressure

deliver posterior arm of the fetus

corkscrew maneuvers

fracture fetal clavical


NO FUNDUS PRESSURE

29

brachial plexus injuries ca cause from shoulder dystocia

erbs palsy

30

midline episiotmy

less pain, ease of repair less blood loss

BAD: anal sphincter loss