birth complications Flashcards

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1
Q

what is a uterine rupture

A

occurs during birth when the uterine wall tears, spilling unborn fetus and the contents of uterus into the abdominal cavity.

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2
Q

where is a uterine rupture most commonly found

A

site of a previous c-section

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3
Q

who is at a higher risk to get a uterine rupture

A

those who have given many births and those with scarred uterus

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4
Q

hallmark sign of a uterine rupture

A

very strong and painful contractions that slack off

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5
Q

s/s of a uterine rupture

A

s/s shock, tachycardia, hypovolemia, hypotension, significant vaginal bleeding maybe present

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6
Q

what is cephalopelvic disproportion

A

this occurs when the fetal head is too big to pass through the maternal pelvic floor

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7
Q

what is shoulder dystocia

A

this occurs when the shoulders are wider than the fetal head allowing for crowning the head to be delivered, but immediate retraction of the head into the perineum

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8
Q

what is the hallmark sign of shoulder dystocia

A

turtle head

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9
Q

what is breech presentation

A

occurs when the buttock or the feet present first in the birthing process, risking anoxic conditions for the infant

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10
Q

what is prolapsed umbilical cord

A

occurs when the umbilical cord presents first in the birthing process

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11
Q

what is nuchal cord

A

occurs when the umbilical cord is wrapped around the infant’s neck during birth

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12
Q

what is meconium staining

A

constitutes the first stool of a newborn infant.

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13
Q

what has intrauterine meconium passage been associated with

A

fetomaternal stress and infection

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14
Q

intrauterine meconium passage may result in infants without fetal distress due to

A

normal gastrointestinal maturation or from vagal stimulation caused by head or cord compression

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15
Q

when does meconium aspiration syndrome (MAS) occur

A

meconium-stained amniotic fluid (MSAF) is aspirated into the lungs of an infant before, during, or immediately after birth.

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16
Q

risk factors that have been associated with meconium aspiration

A

placental insufficiency, maternal hypertension, maternal diabetes melltius, preeclampsia, oligohydramnios, and maternal tobacco use.

17
Q

s/s of meconium staining

A

-gray/green amniotic fluid
-nonvigorous infant with depressed respiratory
-HR<100bpm
depressed muscle tone