Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Patho OB > Breech > Flashcards

Breech Flashcards

1
Q

Questions

A

Answers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A 32 y/o (2002) requested for an external cephalic version at 34-36 wks aog after it was diagnosed with utz as complete breech she is afraid that most severe frequent complication of vaginal breech delivery might happen to her baby which is

a. Head entrapment
b. Cord prolapse
c. Spinal cord injury
d. Abruptio placenta

A

b. Cord prolapse

pg 542
Compared with cephalic presentation, umbilical cord prolapse is more frequent with breech fetuses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Based on nursery statistics received, the most major neonatal morbidity and mortality with breech presentation is:

a. Birth trauma
b. IUGR
c. Cord prolapse
d. Cerebral palsy

A

c. Cord prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

29 y/o G5P4 (4004) is in latent phase of labor. Absolute contraindication for vaginal breech delivery:

a. Prolong missed abortion
b. Footling breech
c. Hyperflexion of fetal head
d. Prolonged latent phase of labor

A

b. Footling breech

Table 28-1. Factors favoring Cesarean Delivery of the Breech Fetus
. Lack of operator experience
. Patient request for cesarean delivery
. Large fetus >3800 to 4000g
. Apparently healthy and viable preterm fetus either with active labor or with indicated delivery
. Severe fetal-growth restriction
. Fetal anomaly incompatible with birth trauma
. Incomplete or footling breech presentation
. Hyperextended head
. Pelvic contraction or unfavorable pelvic shape determined clinically or with pelvimetry
. Prior cesarean delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A 22 y/o G1P0, 37 weeks AOG, in breech position and is advised External Cephalic Version. She should be told that:

a. She should be offered General anesthesia
b. The procedure can be done with oligohydramnios
c. Tocolysis will improve the result of external version
d. Engagement of the presenting part is not considered a contraindication to version

A

d. Engagement of the presenting part is not considered a contraindication to version

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes of breech, except:

a. Premature
b. Multiple pregnancy
c. Placenta previa totalis
d. Subserous fundal fibroid

A

d. Subserous fundal fibroid

pg 540
Risks include
. Early gestational age
. Extremes of amniotic fluid volume
. Multifetal gestation
. Hydrocephaly
. Anencephaly
. Structural uterine abnormalities
. Placenta previa
. Pelvic tumors
. Prior breech delivery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

G3P2 (2002), term, frank breech in labor, intrauterine fetal death, G1 delivered vaginally, G2 delivered by caesarean section due to fetal distress, mgt?

a. Vaginal delivery
b. CS
c. Either A or B

A

b. CS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A G5P4 (4004), term, footling breech in labor, with ruptured bag of membranes

a. Vaginal delivery
b. CS
c. Either A or B

A

b. CS

Table 28-1. Factors favoring Cesarean Delivery of the Breech Fetus
. Lack of operator experience
. Patient request for cesarean delivery
. Large fetus >3800 to 4000g
. Apparently healthy and viable preterm fetus either with active labor or with indicated delivery
. Severe fetal-growth restriction
. Fetal anomaly incompatible with birth trauma
. Incomplete or footling breech presentation
. Hyperextended head
. Pelvic contraction or unfavorable pelvic shape determined clinically or with pelvimetry
. Prior cesarean delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

G4P2 (2012), 22 weeks, franks breech, in labor

a. Vaginal delivery
b. CS
c. Either A or B

A

a. Vaginal delivery

541
periviable fetuses, 20-<26 weeks, do no support routine cesarean delivery to improve mortality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A G1P0, term, frank breech in labor

a. Vaginal delivery
b. CS
c. Either A or B

A

c. Either A or B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

One knee lie below breech

a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B

A

c. Incomplete breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lower extremities are flexed

a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B

A

d. A and B (Complete and Frank)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Both hips are flexed and one or both knees are also flexed

a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B

A

a. Complete breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The lower extremities are extended at the knees

a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B

A

b. Frank breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Double footling breech

a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B

A

c. Incomplete breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do you call the type of vaginal breech where an infant was delivered without assurance as far as the umbilicus, and the reminder of the body is manually assisted by the obstetrician?

a. Spontaneous breech delivery
b. Assisted breech delivery / partial breech extraction
c. Total breech extraction
d. A and B only

A

b. Assisted breech delivery / partial breech extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

fetus is expelled entirely spontaneously without any traction or manipulation other than support of the newborn

a. Spontaneous breech delivery
b. Assisted breech delivery / partial breech extraction
c. Total breech extraction

A

a. Spontaneous breech delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the fetus is delivered spontaneously as far as the umbilicus, but the remainder of the body is extracted or delivered with operator with operator traction and assisted maneuvers, with or without maternal expulsive efforts

a. Spontaneous breech delivery
b. Assisted breech delivery / partial breech extraction
c. Total breech extraction

A

b. Assisted breech delivery / partial breech extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

the entire body of the fetus is extracted by the obstetrician.

a. Spontaneous breech delivery
b. Assisted breech delivery / partial breech extraction
c. Total breech extraction

A

c. Total breech extraction

20
Q

All are risk factors for breech presentation, EXCEPT:

a. Smoking
b. Hydrocephalus
c. Increased maternal age
d. Pelvic tumor

A

c. Increased maternal age

21
Q

Which of the statements is INCORRECT?

a. Breech presentation is more common in babies.
b. All women with a breech presentation should be offered external cephalic version at 37-38 weeks.
c. Breech presentation is associated with a higher perinatal mortality regardless of the mode of delivery.
d. CS should be offered to all women with twins where the presentation is cephalic in the first twin and breech in the second twin.

A

c. Breech presentation is associated with a higher perinatal mortality regardless of the mode of delivery.

22
Q

Refers to the relationship of an arbitrarily chosen portion of the presenting part to the right or left side of the birth canal.

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

c. Fetal position

23
Q

the relation of the fetal long axis to that of the mother and is either longitudinal or transverse

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

a. Fetal lie

24
Q

the presenting part is that portion of the fetal body that is either foremost within the birth canal or in closest proximity to it

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

b. Fetal presentation

25
Q

characteristic posture assumed by the fetus in the latter months of pregnancy

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

d. Fetal attitude

26
Q

What are the two options that can be felt with Leopold’s Maneuver 1? What do they describe? What can be told from the following?

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

pg 424

Breech - large, nodular mass
Head - hard and round and more moveable

a. Fetal lie

27
Q

What are the two options that can be felt with Leopold’s Maneuver 2? What do they describe? What can be told from the following?

a. Fetal lie
b. Fetal presentation
c. Fetal position
d. Fetal attitude

A

pg 424

Back - hard, resistant structure
Fetal extremities - small, irregular mobile parts

c. Fetal position

28
Q

Which maneuver is normally used during breech delivery to deliver head?

a. Pinard’s maneuver
b. Mauriceau maneuver
c. Loveset’s maneuver
d. Leopold’s maneuver
e. Modified Prague maneuver
f. Zavanelli maneuver

A

b. Mauriceau maneuver

pg 546
Index and middle finger of one hand are applied over the maxilla, to flex the head, while the fetal body rests on the palm of the same hand and forearm

29
Q

What maneuver is used when the breech is born with back posterior?

a. Pinard’s maneuver
b. Mauriceau maneuver
c. Loveset’s maneuver
d. Leopold’s maneuver
e. Modified Prague maneuver
f. Zavanelli maneuver

A

e. Modified Prague maneuver

30
Q

What maneuver is used in frank breech?

a. Pinard’s maneuver
b. Mauriceau maneuver
c. Loveset’s maneuver
d. Leopold’s maneuver
e. Modified Prague maneuver
f. Zavanelli maneuver

A

a. Pinard’s maneuver

31
Q

What maneuver is used for nuchal arm?

a. Pinard’s maneuver
b. Mauriceau maneuver
c. Loveset’s maneuver
d. Leopold’s maneuver
e. Modified Prague maneuver
f. Zavanelli maneuver

A

c. Loveset’s maneuver

32
Q

What maneuver is used for head entrapment?

a. Pinard’s maneuver
b. Mauriceau maneuver
c. Loveset’s maneuver
d. Leopold’s maneuver
e. Modified Prague maneuver
f. Zavanelli maneuver

A

f. Zavanelli maneuver

33
Q

The forceps specifically designed for the delivery of the aftercoming head in the breech birth.

a. Simpson forceps
b. Piper forceps
c. Ovum forceps
d. Uterine forceps

A

b. Piper forceps

34
Q

What fetal weight is exclusionary in breech presentation?

A

> 2500g and <3800-4000g or evidence of growth restriction

35
Q

What BPD is exclusionary for vaginal delivery?

A

> 90-100mm

36
Q

What measurement will permit planned vaginal delivery for inlet anteroposterior diameter?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

e. ≥ 10.5 cm

37
Q

What measurement will permit planned vaginal delivery for inlet transverse diameter?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

f. ≥ 12 cm

38
Q

What measurement will permit planned vaginal delivery for midpelvic interspinous distance?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

d. ≥ 10 cm

39
Q

What is the recommend fetal biometry of the sum of the inlet obstetrical conjugate minus the fetal BPD?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

b. ≥ 15 mm

40
Q

What is the recommended fetal biometry of the inlet transverse diameter minus the BPD?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

c. ≥25mm

41
Q

What is the recommended fetal biometry of the midpelvis interspinous distance minus the BPD?

a. ≥ 0mm
b. ≥ 15 mm
c. ≥25mm
d. ≥ 10 cm
e. ≥ 10.5 cm
f. ≥ 12 cm

A

a. ≥ 0mm

42
Q

Absolute contraindication for version

A 
. Placenta previa
. Multifetal gestation
. Early labor
. Oligohydramnios or rupture of membrane
. Known nuchal cord
. Structural uterine abnormalities
. Fetal-growth restriction
. Prior abruption
43
Q

Indication for version

A

breech presentation is recognized prior to labor in a woman who has reached 37 weeks’ gestation

44
Q

Factors that can improve the chances of a successful attempts at version

A 
. Multiparity
. Unengaged presenting part
. Nonanterior placenta
. Nonobese patient
. Abundant amniotic fluid
45
Q

Complicatioins of version

A 
. Abruption
. Preterm labor
. Fetal compromise
. Uterine rupture
. Fetomaternal hemorrhage
. Alloimmunization
. Amnionic fluid embolism
. Death
46
Q

Which tocolytics are used prior to ECV?

A

beta-mimetics terbutaline and ritodrine subcutaneous terbutaline

47
Q

Which accupressure point is used in ECV?

A

BL 67

Patho OB (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions