25 - Obstetrics Examination Flashcards

1
Q

Normal vaginal delivery criteria:

A
1– Singleton 
2– Non instrumental delivery
3– Normal GA [37–41 wks]
4– Spontaneous labor
5– No postpartum complications
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2
Q

Miscarriage:

A

Expulsion of the fetus before the age of viability

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3
Q

Stillbirth:

A

Baby delivered after 24 weeks that doesnt breathe or show any signs of life

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4
Q

Maternal mortality:

A

A woman who dies while pregnant, or within 28 days after delivery

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5
Q

Puerperium:

A

6 weeks after childbirth during which the mother’s reproductive organs return to their original non pregnant condition

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6
Q

Normal fetal position or attitude of the fetus:

A

1– Head tucked down to the chest

2– Arms and legs toward the center

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7
Q

Lie of the fetus:

A

Long axis relationship and normally it’s longitudinal

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8
Q

Normal presentation of the fetus:

A

Cephalic [Head presenting]

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9
Q

External cephalic version:

A

Turning the fetus from breech position into head down [Vertex] before labor begins

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10
Q

Station [descent]

A

Relationship between the presenting baby part and the mother’s ischial spine

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11
Q

High risk BMI

A

<20 or >35

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12
Q

Obese pregnant mothers VS short and thin mothers:

A

Obese may develop diabetes and deliver a big macrosomic baby, while thinner women may deliver small babies and have obstructed labor

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13
Q

Inspection [From the foot of the bed]:

A

1– Shape of the abdominal distention

2– Movement with respiration

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14
Q

Inspection [From the right side]:

A

1– Pigmentation
2– Striae [New and red AKA Striae Gravidarum while old and white AKA striae albicantes]
3– Surgical scars [CS]
4– Hair growth
5– Fetal movement [After 24 weeks]
6– Umbilicus [Everted in polyhydramnios or multiple gestations]
7– Visible veins

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15
Q

PE involves:

A

1– Superficial palpation
2– Fundal height [After 20 weeks]
3– Leopold’s maneuvers [First AKA fundal grip [To identify the pole occupying the fundus]] and second [AKA lateral grip [To identify the sides in the uterus]]]
4– Pawlick [Grasping the lower portion just above the pubis symphysis]
5– Pelvis maneuver [Pressing the lower part of the uterus to determine the presenting part]

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