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Zak, Endo/Repro 2 > Normal Labor and Delivery > Flashcards

Normal Labor and Delivery Flashcards

1
Q

What is the definition of “Labor”

A

Progressive cervical dilation from regular uterine contractions that occur at least every 5 minutes and last 30-60 seconds

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2
Q

What is a Braxton Hicks contraction

A

False Labor –> contractions with no uterine dilation

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3
Q

Def = fetal spine position relative to moms spine

A

Fetal Lie

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4
Q

Def = part of baby in pelvis

A

Fetal Presentation

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5
Q

What are the descriptors for Fetal Presentation

A

Vertex
Breech
Transverse
Compound (vertex + hand)

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6
Q

Def = checked at internal os and ranges form closed to 10cm

A

Dilation

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7
Q

Def = thinning of the cervix ranging from thick to 100%

A

Effacement

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8
Q

Def = degree of decent of presenting part of fetus ranging from -5cm to +5cm

A

Station

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9
Q

Def = labor started by artificial means

A

Induction

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10
Q

Def = artificial stimulation of labor that has already begun

A

Augmentation

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11
Q

What components are used for the Bishop score

A 
Dilation
Effacement
Station
Consistency
Position
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12
Q

What are the Bishop scores to be familiar with

A

< 6 is unfavorable

> 8 has good odds of vaginal delivery

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13
Q

What are the most common complications with Pitocin use

A

Uterine tachysystole
Antidiuretic effect
Uterine muscle fatigue

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14
Q

Uterine contractions and cervical dilation relay pain via which spinal levels

A

T10-L1

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15
Q

Pressure in the pelvic floor, vagina, and perineum relay pain via which spinal levels

A

S2-4 (pudendal n.)

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16
Q

Regional anesthesia refers to loss of pain sensation below which spinal level

A

T10

17
Q

Which general anesthetic is most commonly used as an induction agent

A

Propofol

18
Q

What are the stages of labor

A 
1st = onset of labor - complete cervical dilation
2nd = complete cervical dilation - delivery of baby
3rd = delivery of baby - delivery of placenta
4th = delivery of placenta - stable pt
19
Q

What is the duration/rate of labor for the 1st stage

A

Primi –> 6-18 hrs, 1.2cm/hr

Multip –> 2-10 hrs, 1.5cm/hr

20
Q

What is the duration of the 2nd stage of labor for Primis and Multips

A

Primi w/out Epi –> 2 hrs
Primi w/ Epi –> 3 hrs
Multip w/out Epi –> 1 hr
Multip w/ Epi –> 2 hrs

21
Q

What are the 7 cardinal movements of labor

A 
Engagement
Descent
Flexion
Internal Rotation
Extension
External Rotation
Expulsion
22
Q

What makes the degrees of perineal lacerations differ

A 
1˚ = vaginal mucosa and/or perineal skin
2˚ = into muscles of perineal body
3˚ = through anal sphincter
4˚ = into rectal mucosa
23
Q

What is the most common cause of postpartum hemorrhage

A

Uterine atony

Zak, Endo/Repro 2 (33 decks)

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