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OB GYN > Conduct Of Normal Labor And Delivery > Flashcards

Conduct Of Normal Labor And Delivery Flashcards

0
Q

This fetal lie presents in over 99% of labors at term

A

Longitudinal

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1
Q

It is the relation of the long axis of the fetus to the mother

A

Fetal Lie

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2
Q

Predisposing factors in a transverse lie includes (4)

A

Multiparity
Placenta previa
Hydramnios
Uterine anomalies

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3
Q

This fetal lie fetal and maternal axes may cross at a 45 degree angle

A

Oblique lie

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4
Q

This lie is usually unstable and always becomes longitudinal or transverse during the course of labor

A

Oblique lie

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5
Q

Characteristic posture of the fetus in the later months of pregnancy

A

Fetal Attitude

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6
Q

Also known as Fetal Habitus or Posture

A

Fetal Attitude

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7
Q

Fetus forms an ovoid mass that correspond roughly to the shape of the uterine cavity

A

Fetal Attitude

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8
Q

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

A

Fetal presentation

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9
Q

When thighs are flexed and the legs are extended over the anterior surface of the body

A

Frank breech

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10
Q

If the thighs are flexed on the abdomen and the legs upon the thighs

A

Complete breech

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11
Q

One or both feet or one or both knees are the lowermost

A

Incomplete breech or Footling breech

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12
Q

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

A

Fetal Position

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13
Q

The shoulder presentation, the ____ is the portion of the fetus arbitrarily chosen for the orientation in the maternal pelvis

A

Acromion

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14
Q

Its is customary to refer all transverse lies simply as ___

A

Shoulder presentation

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15
Q

Another term used is transverse lie with ____

A

Back up or Back down

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16
Q

This Leopolds manuever is done when the examiner stands on the side of the bed and faces the patient

A

L1-2-3

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17
Q

This Leopolds maneuver is done when the examiner reverses this position and faces her feet for the last maneuver

A

L4

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18
Q

Leopolds maneuver is difficult if not impossible to perform and interpret if the patient ___ or ____

A

Obese

Placenta is anteriorly implanted

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19
Q

First maneuver is also know as ___

A

Fundal grip

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20
Q

Examiner gently palpates the fundus with the tips of the fingers of both hands to define which fetal pole is present in the FUNDUS

A

First maneuver

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21
Q

What can be interpreted in the first maneuver

A

Breech or Cephalic

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22
Q

When sensation of a large, nodular body

A

Breech

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23
Q

Hard and round which is more freely movable and balottable

A

Cephalic

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24
Q

Second maneuver is also known as ___

A

Lumbar grip

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25
Q

The palms are placed on either side of the abdomen and gentle but deep pressure is exerted

A

Second maneuver

26
Q

What can be determined in the second maneuver

A

Back or Extremities

27
Q

This renders a hard and resistant

A

Back

28
Q

This renders numerous small, irregular and mobile parts

A

Extermities

29
Q

Other name for the third maneuver

A

Pawlik’s grip

30
Q

Using the thumb and fingers on one hand, the lower portion of the abdomen is grasped just above the symphysis pubis

A

Third maneuver

31
Q

The other name of the fourth maneuver

A

Pelvic grip

32
Q

The tips of the three fingers of each hands exert deep pressure in the direction of the axis of the pelvic inlet

A

Fourth maneuver

33
Q

What can be detected in the fourth maneuver

A

Vertex presentation or Face presentation

34
Q

The prominence is on the same side as the small parts

A

Vertex presentation

35
Q

The prominence is on the same side as the back

A

Face presentation

36
Q

What are the cardinal movement of labor

A 
Engagement
Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion
37
Q

Mechanism by which the biparietal diameter, the greatest transverse diameter of the fetal head passes through the pelvic inlet

A

Engagment

38
Q

Fetal head may engage during the ____ or ______

A

Last few weeks of pregnancy

Not until after the commencement of labor

39
Q

Fetal head is freely movable above the pelvic inlet at the onset of labor

A

Floating head

40
Q

The fetal head usually enters the pelvic inlet either ___ or ___

A

Transversely or obliquely

41
Q

First requisite of birth of the newborn

A

Descent

42
Q

In nulliparas, the engagement may take place ____ and further descent may not follow until ____

A

Onset of labor

Not follow until the onset of the second stage

43
Q

In multiparous women, descent usually begins ___

A

With engagement

44
Q

Descent is brought to you by one or more 4 forces:

A
  1. Pressure of the amniotic fluid
  2. Direct pressure on the fundus upon breech with contraction
  3. Bearing down efforts of the maternal abdominal muscle
  4. Extension and straightening of the fetal body
45
Q

The chin is brought into more intimate contact with fetal thorax

A

Flexion

46
Q

Suboccipitobregmatic diameter in flexion is substituted with ____

A

Occipitofrontal diameter

47
Q

Consists of turning of head in such a manner that the occiput gradually moves toward the symphysis pubis anteriorly from its original position

A

Internal rotation

48
Q

This is essential for the completion of labor, except when the fetus is ___

A

Internal rotation

Unusually small

49
Q

This happens when the head presses upon the pelvic floor

A

Extension

50
Q

2 forces involves in during extension:

A
  1. Exerted by the uterus (acts more posteriorly)

2. Resistant of the pelvic floor and the symphysis pubis (acts more anteriorly)

51
Q

Delivered head undergoes reinstitution

A

External rotation

52
Q

Brings its bisacromial diameter in the relation with the AP diameter of the pelvic outlet

A

External Rotation

53
Q

Almost immediately after external rotation

A

Expulsiom

54
Q

The anterior shoulder appear under the symphysis pubis

A

Expulsion

55
Q

Perineum soon becomes distended by the posterior shoulder

A

Expulsion

56
Q

After delivery of the shoulders, the rest of the body quickly passes

A

Expulsion

57
Q

Its is the lateral deflection of the head to a more anterior or posterior position in the pelvis

A

Asynclitism

58
Q

Two types of asynclitism

A

Anterior

Posterior

59
Q

If the sagittal suture approaches the sacral promontory

A

Anterior asynctilism

60
Q

More of the anterior parietal bone presents itself to the examining fingers

A

Anterior synctilism

61
Q

The sagittal suture lies closes to the symphysis

A

Posterior asynctilism

62
Q

More of the posterior parietal bone will present

A

Posterior asynctilism

OB GYN (11 decks)

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