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Repodction > Abnormal Labour > Flashcards

Abnormal Labour Flashcards

1
Q

What is TENS

A

Transcutaneous electrical nerve stimulation

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2
Q

What is TENS

A

Transcutaneous electrical nerve stimulation

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3
Q

Name an IM opiate analgesia you could give during labour

A

Morphine

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4
Q

An epidural may inhibit progress during which stage of labour?

A

Stage 2

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5
Q

What medicines would you give in an epidural?

A

Levobupivicaine +/- opiate

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6
Q

Complications of epidural

A
  • Hypotension
  • Dural puncture
  • Headache
  • Atonic bladder (40%)
  • Back pain
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7
Q

How could you assess progress in labour?

A
  • Cervical dilatation
  • Descent of presenting part
  • Signs of obstruction
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8
Q

Suspected delay (stage 1) in a nulliparous woman

A
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9
Q

Suspected delay (stage 1) in a parous woman

A
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10
Q

How often should you perform doppler auscultation of fetal heart during stage 1 of labour?

A
  • During and after contraction

- Every 15 minutes

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11
Q

How often should you perform doppler auscultation of fetal heart during stage 2 of labour?

A

Every 5-10 minutes

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12
Q

Name an IM opiate analgesia you could give during labour

A

Morphine

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13
Q

An epidural may inhibit progress during which stage of labour?

A

Stage 2

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14
Q

What medicines would you give in an epidural?

A

Levobupivicaine +/- opiate

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15
Q

Complications of epidural

A
  • Hypotension
  • Dural puncture
  • Headache
  • Atonic bladder (40%)
  • Back pain
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16
Q

How could you assess progress in labour?

A
  • Cervical dilatation
  • Descent of presenting part
  • Signs of obstruction
17
Q

Suspected delay (stage 1) in a nulliparous woman

A
18
Q

Suspected delay (stage 1) in a parous woman

A
19
Q

How often should you perform doppler auscultation of fetal heart during stage 1 of labour?

A
  • During and after contraction

- Every 15 minutes

20
Q

How often should you perform doppler auscultation of fetal heart during stage 2 of labour?

A

Every 5-10 minutes

21
Q

Which nerves can you target with TENS?

A

T10-L1, S2-S4

22
Q

What anaesthesia could cause atonic bladder?

A

Epidural

23
Q

Suspected delay in stage 1?

A
24
Q

Intra-partum fetal assessment

A
  • doppler auscultation of the heart
  • colour of amniotic fluid
  • CTG
25
Q

Normal baseline heart rate

A 
Normal = 110-150 bpm
(tachycardia = >150, bradycardia =
26
Q

Normal heart rate variability

A

5-25 bpm

(saltatory = >25, reduced =

Repodction (52 decks)

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