Brainscape's Knowledge GenomeTM

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


See full index

Maternal > DYSOTOCIA > Flashcards

DYSOTOCIA Flashcards

1
Q
  • The number of contractions are unusually infrequent.
  • ACTIVE PHASE
  • Not more than to 3 contractions in 10-minute period.
  • LESS PAINFUL
  • the strength of contractions does not arise above 25mmhg
  • resting tone is less than 10mmgh
A

Hypotonic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Resting tone is more than 15 mmHg
  • Contractions are strong but not effective
    LATENT PHASE:
  • Muscle fibers do not repolarize after contraction
  • FETAL ANOXIA
  • PAINFUL
A

Hypertonic

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

pacemaker of the contraction located

A

high of the uterus downwards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • More than one pacemaker that may contractions
  • Receptor points are acting independently from the pacemaker
  • patient has difficulty to rest in between contraction
    INTERVENTION
A

Uncoordinated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Contractions become ineffective during the 1st stage of labor.
  • Longer than 14 hours in nullipara; more than 20 hours in multipara
  • This may occur if the cervix is not “ripe” at the beginning of labor.
A

PROLONGED LATENT PHASE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • Cervical dilatation does not occur at 1.2 cm/h in nullipara or 1.5 cm/h multipara.
  • Longer than 12 hours in primipara; 6 hours in multi para
  • Fetal malformation or CPD
A

PROTRACTED ACTIVE PHASE

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

(pagbaba ni baby sa pelvic area or birth canal)
* Extends beyond 3 hours in nullipara; 1 hour in a multipara
* Most often results from abnormal fetal head position
*cesarean is required

A

PROLONGED DECELERATION PHASE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • Occurs if there is no progress in. cervical dilatation for longer than 2 hours
A

SECONDARY ARREST OF DILATATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • Rate of descent is less than 1 cm/h in nullipara or 2 cm/h in multipara.
  • Can be suspected if the 2nd stage of labor lasts over 2 hours in multipara
A

PROLONGED DESCENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • No descent for 2 hours in nullipara or 1 hour in multipara
  • Cephalopelvic Disproportion (CPD)
A

ARREST OF DESCENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • Cervical dilatation occurs at a rate of 5 cm or more/hour in primipara or 10 cm or more/hour in multipara.
  • Uterine contractions are so strong.
  • Labor can be completed in less than 3 hours.
  • Common in grand multiparity or after induction of labor via oxytocin
  • Premature separation of placenta or laceration of the perineum
  • Cannot be prevented but can be predicted.
A

PRECIPITATE LABOR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Labor is started artificially
  • Fetus is at term (over 39 weeks)
  • Preeclampsia, eclampsia, severe HPN, DM, Rhi sensitization, PROM, intrauterine growth restriction, post-maturity
A

INDUCTION OF LABOR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Assisting labor that has started spontaneously but not effective
  • Uterine rupture or PROM
  • Used cautiously with patients:
  • Multiple gestation
  • Polyhydramnios
  • Grand parity
  • With previous uterine scars
  • 40 years old and above
A

AUGMENTATION OF LABOR

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

What should be the actions if:

  • Fetus is in longitudinal line
  • Cervix is ripe or ready for birth
  • Vertex and engaged
  • No CPD
  • Over 39 weeks
A
  • Induction of labor will be initiated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  • Change in the cervical consistency from firm to soft.
  • Dilatation and coordination of uterine contractions will not occur until this happened
A

CERVICAL RIPENING

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

3 METHOD TO RIPEN THE CERVIX:

A

Stripping (sweeping) the membranes
Hygroscopic suppositories
Insertion of prostaglandin

16
Q
  • Refers to the uterus turning inside out with either birth of the fetus or delivery of the placenta.
  • It may occur if traction is applied to the umbilical cord to remove the placenta.
  • Can cause large amount of blood suddenly gushes from the vagina.
  • No uterine contractions
  • Fundus is no longer palpable in the abdomen.
  • Patient may begin to show signs of blood loss such as:
  • Hypotension
  • Dizziness
  • Paleness
  • Diaphoresis (excessive sweat)
A

INVERSION OF THE UTERUS

16
Q
  • 5 or more contractions in a 10 - minute period or contractions lasting more than 2 minutes in duration or occurring within 60 seconds of each other.
  • Interferes with placenta filling and fetal oxygenation
A

HYPERSTIMULATION

17
Q

DEGREE OF UTERINE INVERSION
- fundus inverts but does not herniate through the level of the internal os.

A

Incomplete

18
Q

DEGREE OF UTERINE INVERSION

  • the internal lining of the fundus crosses through the cervical os with no palpable fundus abdominally.
A

Complete

19
Q

DEGREE OF UTERINE INVERSION

  • entire uterus prolapsing through the cervix with the fundus
A

Prolapse

20
Q

occurs when AF is foreced into an open uterine blood sinus after a membrane rupture or partial premature sepration of the placenta

A

amniotic fluid embolosim

21
Q
  • A loop of the umbilical cord slips down in front of the presenting fetal part.
  • It may occur at any time after the membranes ruptures if the presenting fetal part is not fitted firmly into the cervix.
A

PROLAPSE OF THE UMBILICAL

22
Q
  • The fetus is not getting enough oxygenated blood from the placenta or umbilical cord
  • FHR pattern may show variable decelerations
A

FETAL DISTRESS

Maternal (12 decks)

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