Deliver Complications

Question 1

cephalopelvic disproportion

Answer 1

occurs when the infant’s head is too big to pass through the maternal pelvis easily / may be caused by oversized fetus, large fetuses associated with diabetes, multiparity, postmaturity, hydrocephalus, conjoined twins, fetal tumors

Question 2

hydrocephalus

Answer 2

a condition in which fluid accumulates in the brain, enlarging the head and sometimes causing brain damage

Question 3

precipitous delivery

Answer 3

a delivery that occurs after less than 3 hours of labor / occurs most frequently in grand multipara and is associated with a higher-than-normal incidence of fetal trauma, tearing of the umbilical cord, maternal lacerations

Question 4

shoulder dystocia

Answer 4

occurs when the infant’s shoulders are larger than its head / most frequently with diabetic and obese mothers

Question 5

meconium staining

Answer 5

occurs when the fetus passes feces into the amniotic fluid, it is always indicative of a fetal hypoxic incident / hypoxia causes an increae in fetal peristalsis along with relaxation of the anal sphincter

Question 6

McRobert’s position

Answer 6

pelvis tilts, orienting symphysis more horizontally to facilitate shoulder delivery; the maneuver is used in should dystocia delivery

Question 7

postpartum hemorrhage

Answer 7

loss of more than 500 cc of blood immediately following delivery / most common cause is uterine atony; other causes include, placenta previa, abruptio placentae, retained placental parts, clotting disorders, vaginal or cervical tears

Question 8

uterine atony

Answer 8

lack of uterine muscle tone

Question 9

uterine rupture

Answer 9

tearing, or rupture of the uterus

Question 10

uterine inversion

Answer 10

occurs when the uterus turns inside out after delivery and extends through the cervix / average blood loss ranges from 800 to 1,800 cc

Question 11

toxic shock syndrome (TSS)

Answer 11

a form of septic shock