Conduct Of Normal Labor And Delivery Flashcards

1
Q

It is the relation of the long axis of the fetus

A

Fetal lie

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2
Q

Present 99% of fetal lie

A

Longitudinal

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3
Q

What are predisposing factors of transverse lie

A

Multiparity
Placenta previa
Hydramnios
Uterine anomalies

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4
Q

Cephalic presentation

A

Vertex
Face
Brow
Sinciput

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5
Q

Breech

A

Frank
Complete
Incomplete or footling

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6
Q

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

A

Frank breech

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7
Q

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

A

Complete breech

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8
Q

Known as the habitus or posture

A

Fetal attitude

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9
Q

How do you perform L1 to L3

A

Examiner stands at the side of the bed and faces the px

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10
Q

First manuever is called

A

Fundal grip

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11
Q

Sensation of a large nodular body

Hard and round and is more freely movable and balottable

A

Breech

Cephalic

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12
Q

Second maneuver

A

Lumbar grip

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13
Q

Hard and resistant

A

Back

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14
Q

During the 3rd maneuver when is the presenting part not engaged

A

Movable body above the symphysis pubis

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15
Q

Pelvic grip

Prominence is on the same side as the back

A

Face presentation

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16
Q

What are the cardinal movements of labor

A
Engagement 
Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion
17
Q

Mechanism by which the biparietal diameter passes through the pelvic inlet

A

Engagement

18
Q

First requiste for birth of the new born

19
Q

When does descent begin in multiparous women

A

Engagement

20
Q

What are the forces that act on fetal descent

A

Pressure of amniotic fluid
Direct pressure of the fundus upon the breech with contractions
Bearing down with abdominal muscles
Extension and straigthening of the fetal body

21
Q

Forces that act on the extension

A

Uterus posterior

Resistant pelvic floor and symphysis anteriorly

22
Q

Sagittal suture approaches the sacral promontory

A

Anterior asynclitisn

23
Q

Sagittal suture lies close to the symphysis

A

Posterior asynclitisn

24
Q

Due to prolonged labor

A

Capit sccedaneum

25
Duration of the first stage of labor
Null Latent less than 20hrs Active phase 1.2cm/hr Multipara <14hrs latent 1.5cm active
26
Second stage of labor
50 mins null 20 mins multi
27
When does the latent phase end
3 to 5cm | Dilation
28
Factors that can contribute to both protraction and arrest
Excessive sedation Epidural analgesia Fetal malposition
29
Simple and reliable test for ruptured membrane
Nitrazine
30
When is amniontic fluid suggested rather than cervical fluis
Ferning
31
Station 0 located at
Ischial spine
32
Forward pressure on the chin of the fetus through the perineum
Ritgen manuever
33
Signs of placental separation
Calkin sign Sudden gush of blood Uterus rises in the abdomen Lenghthjng of the umbilical cord
34
Uterus becomes globular and firmer
Calkin sign
35
Indications of manual removal of placenta
Brisk bleeding | Palacental cannot be delivered
36
Active management of the third stage
Uterine massage Oxytoxin Ergonovine Methylergonovine