Deck 1 Flashcards

1
Q

Hypotension is a late sign of shock. Any sign of hypovolaemia during pregnancy is likely to indicate what?

A

A 35% blood loss

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2
Q

Manual uterine displacement must be employed to support resuscitative measures of?

A

20 weeks gestation.

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3
Q

Normal labour is one that spontaneously begins when?

A

After 37 weeks gestation with baby in cephalic ( head down)

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4
Q

Full term gestation is ?and pre term is?

A

+37 weeks full term
- 37 weeks pre term

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5
Q

Stage one is defined as what?

A

Dilation and effacement of the cervix, rupture of membranes and loss of mucus ( plug)

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6
Q

The design and shape of the female pelvis is to help with what?

A

Allow babies to pass through negotiations several complex turns or rotations along the way.

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7
Q

Diameters are designed to allow what?

A

Are designed for baby’s head to undergo enlargement, decent, flexion, rotation, extension, restitution and expulsion in order to born.

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8
Q

What is Lanugo?

A

Soft fine hairs covering a part of the foetus while inside the uterus. It helps protect them and keeps them warm while they grow.

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9
Q

What is meconium.

A

Babies poo

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10
Q

Which term has a higher chance of self malpresentation and cord prolapse?

A

Pre term

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11
Q

What complications can occur and may directly influence labour management are?

A

Prem labour
Intrauterine growth restriction
Antepartum haemorrhage
Pre eclampsia
Malpresentation. Anything other than the head engaging
Cord prolapse.

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12
Q

What is primary survey

A

Establish gestation.

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13
Q

What are the 4 T.

A

Tissue
Thrombin
Trauma
Tone

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14
Q

What is a post pastum haemorrhage ?

A

A loss of more than 500 mls of blood from genital tract within first 24hs after birth (primary) or post birth (secondary)

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15
Q

Risk factors of PPH

A

Induction of labour
Delay in delivery of placenta
Perineal teal or episiotomy ( a cut to help delivery)
Having a longer labour (more than 12 hrs)
Having a large baby more than 9lbs 4kg

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16
Q

What is rumping?

A

Rumping (buttocks visible at the perinium) is the opposite to crowning.

17
Q

What is type 1 female genital mutilation

A

Clitoridectom
Partial or total removal of clitoris and in very rare cases only prepuse ( folds of skin around clitoris.

18
Q

Causes of menorrhagia. Heavy blood loss during period.

A

Fibroids or polyps in uterus
Endometriosis
Pieces of wound lining found outside the womb
Pelvic inflammation disease. STI
Polycystic ovaries syndrome
Under active thyroid.

19
Q

Termination of pregnancy and ways

A

24 weeks
Medical abortion (pill) 24-48 hrs after intercourse
Surgical abortion minor procedure to remove the pregnancy and normally go home soon after.

20
Q

What are the causes of a uterin prolapse

A

Aging process
Pregnancy/delivery
Previous pelvic surgery conditions that increase intra abdominal pressures such as COPD, constipation, obesity, manual labour.