Normal Labor And Delivery Flashcards

(51 cards)

0
Q

Most common fetal lie

A

Longitudinal

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1
Q

Longitudinal axis of the fetus to that of the mother

A

Fetal lie

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2
Q

Portion of the fetal body within the birth canal or in closest proximity to it

A

Fetal presentation

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3
Q

Characteristic fetal posture

A

Fetal attitude

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4
Q

Relationship of the chosen fetal presenting part to the right or left side of the maternal birth canal

A

Fetal position

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5
Q

Most common fetal position

A

Occiput anterior, left

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6
Q

Leopolds maneuver: what part occupies the fundus?

A

Leopolds maneuver: what

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7
Q

Leopolds maneuver: what side is the fetal back

A

2nd maneuver

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8
Q

Leopolds maneuver: what part lies over the pelvic inlet

A

Pawlick’s grip; leopolds 3

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9
Q

Leopolds maneuver: which side is the cephalic prominence

A

Leopolds IV

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10
Q

Sagittal suture approaches the sacral promontory; ANTERIOR PARIETAL BONE PRESENTS

A

Naegele’s obliquity

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11
Q

Sagittal suture lies close to the symphysis pubis; POSTERIOR parietal bone will present

A

Litzman obliquity

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12
Q

Most reliable sign of labor

A

Cervical dilatatiob

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13
Q

Test to confirm amniotic fluid: collection of fluid in the vagina

A

Pool test

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14
Q

Test to confirm amniotic fluid: nitrazine test is positive if paper turns what color

A

Blue

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15
Q

Test to confirm amniotic fluid: crystalization

A

Fern test

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16
Q

4 parameters of the cervix that are examined

A

Effacement, dilatation, cervical consistency, cervical position

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17
Q

Bishop scoring criterion include

A

Dilatation, effacement, station, cervical consistency, cervical position

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18
Q

Bishop score of what indicates probability of vaginal delivery after labor induction is similar to that after spontaneous labor

A

8

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19
Q

Most important force in the expulsion of the fetus

A

Maternal intraabdominal pressure

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20
Q

Extreme thinning of the LUS

A

Pathologic retraction ring/ Ring of Bandl

21
Q

Descent of fetal head to below pelvic inlet

22
Q

First prerequisite for birth

23
Q

Downward movement of fetus through birth canal

24
Chin moves towards the thorax due to resistance of maternal structures
Flexion
25
Rotation of fetal head from transverse to AP
Internal rotation
26
Movement of chin away from the thorax
Extension
27
Direct fetal head upward and forward to pelvic outlet
Extension
28
Restitution; return of the presenting part towards the position it is originally directed
External rotation
29
Emerging of remainder of fetus
Expulsion
30
How long is the latent phase of labor?
Nullipara <4hrd
31
How long is the active phase of labor
<1.5cm/hr (MULTI)
32
How long is the 2nd stage of labor?
50 mins= NULLI; 20 mins= MULTI
33
How long is the 3rd stage of labor?
5 mins- Up to 30 mins
34
Active phase: predictive of outcomr of labor
Acceleration phase
35
Active phase: measure of overall efficiency of the machine
Phase of maximum slope
36
Active phase: reflective of the fetopelvic relationship
Deceleration phase
37
Anesthesia for stage 1 of labor:
natural, IM or IV narcotics (meperidine/morphine), paracervical block
38
Anesthesia for stage 2 of labor
Epidural block; pudendal block
39
SE of meperidine/ morphine
Resp depression
40
SE of paracervical block
Fetal brady
41
SE of epidural block
Maternal hypotension and spinal headache
42
Laceration of the anal sphincter
3rd degree
43
Laceration of fascia ad perineal muscles
2nd degree
44
Laceration of rectal mucosa
Fourth degree
45
Sign: uterus becomes globular and firmir
Calkin sign
46
Detachment from central portion; glistening amnion is presenting at vulva
Schultze
47
Seperation at the periphery; maternal surface is 1st to appear
Duncan
48
Discontinue oxytocin if?
Contractions: >5 (10 mins); >7 (15 mins)
49
Late amniotomy is done when?
5cms cerv dilatation
50
Used for cervical ripening:2
Misoprostol, PGE2 gel and vaginal insert; foley balloon; laminaria