Antenatal care Tutorial Flashcards
1
Q
What is an acceptable symphyseal fundal height?
A
+/- 2cm
2
Q
What is SVD?
A
Spontaneous vertex delivery
3
Q
What generally is the management plan for breech babies?
A
c/s
4
Q
Mnemonic for shoulder dystocia
A
HELP ERR H; call for help E; evaluate for episiotomy Legs; McRoberts Manoeuvre P; supraPubic pressure E; enter; rotational maneuver R; remove posterior arm R; roll patient to hands and knees
5
Q
How is variability assessed?
A
Normal or abnormal
6
Q
Are decelerations on a CTG always pathological?
A
No; if in time with contractions, known as early and are normal
If after peak of contraction; late or slow to recover to baseline = bad sign
7
Q
What is a normal, borderline or abnormal foetal pH?
A
Normal; 7.25 or more
Borderline 7.2-7.25
Abnormal <7.2
8
Q
3 Ps of failure to progress?
A
Power; inadequate contractions (start oxytocin)
Passage; pelvis too small, see lots of moulding
Passenger; macrosomia etc
9
Q
What are signs of cephalopelvic disproportion?
A
Excessive moulding of head Caput Anuria Haematuria Vulval oedema Dry and hot vagina Presenting part doesn't engage; high station
