4.7

Question 1

What are the 4 MC indication for C-section?

Answer 1

cephalopelvic disproportion, repeat c-section, non-assuring fetal status, breech/transverse lie

Question 2

What are the dimensions of the two techniques?

Answer 2

Pfannenstiel- transverse 3cm above symphysis, 15cm long

Vertical- from symphysis to 1cm below umbilicus

Question 3

What are some post operative complications of C-section?

Answer 3

endomyometriosis, wound infection/abcess, thromboembolic events, hematoma/seroma

Question 4

What are the 3 types of fetal cord prolapse?

Answer 4

overt, occult, funic

Question 5

Define: overt cord prolapse

Answer 5

entire/portion of cord prolapsed past presenting part

Question 6

define; occult cord prolapse

Answer 6

portion of cord prolapsed alongside but not in front of presenting part

Question 7

define: funic cord prolapse

Answer 7

presence of cord bn presenting part and membranes

Question 8

What are 5 common obstetric emergencies?

Answer 8

Fetal cord prolapse, shoulder dystocia, abnormal fetal HR, third trimester bleeding (placental abruption or placenta previa), eclampsia

Question 9

What are 4 MC third trimester bleeds that require immediate action?

Answer 9

abruption, previa, accreta, vasa previa

Question 10

How does one manage a shoulder dystocia?

Answer 10

McRoberts Maneuver, suprapubic pressure, episiotomy, symphyiotomy, other maneuvers

Question 11

What is an abnormal FHR?

Answer 11

abrupt deceleration on tracing with fetal bradycardia. occurs after an epidural when decr sympathetics. baby’s head squeezing really hard, vagal response

Question 12

How is an FHR managed?

Answer 12

intrauterine resuscitation measures: maternal O2 mask, lateral decubitus, support mom’s bp tx tachysystole w/ tocolytics, c-section when needed