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Reproductive > Exam 2 part 4 > Flashcards

Exam 2 part 4 Flashcards

1
Q

used to relax uterus during external version

A

terbutaline

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2
Q

the relationship of the presenting part to the specific area of the womans pelvis

A

fetal position

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3
Q

Sunny side up
Longer labors
Spontaneous or assisted rotation to OA
Some feel that sedentary behavior in mom increases

A

occiput posterior

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4
Q

more than just a head
Associated with umbilical cord prolapse
Ex. arm up by head

A

compound presentation

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5
Q

are the meetings of the bones of the fetal skull

Covered by a membrane

A

sutures

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6
Q

are the space where two sutures meet

Covered by membrane

A

fontanelles

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7
Q

posturing of the joints and the relationship of the fetal body parts (chest, chin, arms) to each other

A

fetal attitude

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8
Q

normal fetal attitude when labor begins

A

flexion

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9
Q

is the process in which the fetus, placenta, and membranes are expelled sponstaneously

A

labor

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10
Q

begins with onset of labor and ends with complete cervical dilation

A

stage 1

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11
Q

makes up stage 1

A

Latent phase
Active phase
Transition phase

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12
Q

begins with complete cervical dilation and ends with delivery of baby

A

stage 2

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13
Q

begins after delivery of baby and ends with delivery of placenta

A

stage 3

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14
Q

begins after delivery of placenta and is completed 4 hours later

A

stage 4

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15
Q

cervix 0-3 cm dilation 0-40% effacement
Contraction every 5-10 min, mild intensity
Discomfort described as feelings of strong menstrual cramps

A

latent phase

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16
Q 
Average dilation 1.2 cm/hr depending on gravida 
4-7 cm dilation 
40-80% effacement 
Fetal descent 
Intense contractions q 2-5 min
Increase in pain
A

active phase

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17
Q 
Dilation from 8-10cm
100% effacement 
Contractions intense q 1-2 min
Exhaustion, difficulty concentrating 
Bloody show
Strong urge to bear down
A

transition phase

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18
Q

physician-attended births

A

lithotomy

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19
Q

difficult labor or childbirth

A

dystocia

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20
Q

disparity between the size of the maternal pelvis and the fetal head

A

cephalopelvic disproportion CPD

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21
Q

malpostion of the fetal head

A

asynclitism

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22
Q

slower than normal UC

A

protraction disorder

23
Q

complete cessation of UC

A

arrest disorder

24
Q

frequent contractions that cannot perform effectively

A

hypertonic

25
Q

weak, ineffective contraction

A

hypotonic

26
Q

artificial rupture of membranes

A

amniotomy

27
Q

labor lasting more than 18-24 hours

A

prolonged labor

28
Q

develops after excessive retraction of the upper segment
Hallmark of neglected labor
Above the ring is thick =, lower segments below os paper thin and can rupture
As the lower segment thins ring rises
Occurs late in the second stage

A

bandls retraction ring

29
Q

labor that lasts less than 3 hours

A

enexpected fast delivery

30
Q

used when fetal skull has reached the perineum

Scalp is visible between contraction

A

outlet forceps

31
Q

used when fetal skull is at +2 station or more

A

low forceps

32
Q

is the process of deliberate starting labor artificially

A

induction of labor

33
Q

is artificial stimulation of labor that began spontaneously but has progressed abnormally

A

augmentation of labor

34
Q

stimulation of ineffective UCs after the onset of spontaneous labor to manage labor dystocia

A

labor augmentation

35
Q

is the process of physical softenting and opening of the cervix in preparation for labor and birth

A

ripening

36
Q

inserted into the cervix

Made from seaweed, it expands and cause pressure

A

laminaria

37
Q

Defined as five or more UCs in 10 min over 30 min window
Series of single UCs lasting 2 min or longer
UCs occurring within 1 min or each other

A

tachysystole

38
Q

fetal vessels running through the membranes, over the cervix, and under the fetal presenting part unprotected by the placenta or umbilical cord

A

ruptured vasa previa

39
Q

embolism forms when the amniotic fluid that contains fetal cells, lanugo, and vernix enters the maternal vascular system and results in cardiorespiratory collapse

A

anaphylactic syndrome (amniotic fluid embolism)

40
Q

do not give this drug to drug dependent women

A

stadol (butorphanol)

41
Q

position for epidural

A

position patient in side-lying position

42
Q

drug into the subarachnoid cerebrospinal fluid space

The injection is usually made in the lumbar region at the L2/3 or L3/4 space punctures dura

A

spinal anesthesia

43
Q

which occurs when the injection has been given unintentionally at the wrong site, is a rare but serious complication.
Is characterised by sudden hypotension, rapidly increasing motor block, temporarily loss of breathing, loss of consciousness, dilated pupils, and is preceded by respiratory distress due to the blockade of some nerve cells

A

Total spinal

44
Q

Treatment for total spinal

A

maintain airway

place patient on side

45
Q

ALAMER

A 
Ask for help
Leg hyperflexion (McRoberts maneuver)
Anterior shoulder disimpaction 
Rubin maneuver 
Manual delivery of posterior arm
Episiotomy 
Roll over on all fours
46
Q

hyperflexing the mothers leg tightly to her abdomen
It is effective due to the increased mobility at the sacroilic joint during pregnancy, allowing rotation of the pelvis and facilitating the release of the fetal shoulder

A

McRoberts maneuver

47
Q

posterior pressure on the anterior shoulder, which would bring the fetus in an oblique position with head somewhat towards the vagina

A

Rubins

48
Q

leads to turning the anterior shoulder to the posterior and vise versa
Opposite of the rubins maneuver

A

Woods screw maneuver

49
Q

delivery of the posterior shoulder first in which the forearm and hand are identified in the birth canal and gently pulled

A

Jacquemiers maneuver (barnums maneuver)

50
Q

involves moving the mother to an all fours position with the back arched, widening the pelvic intentional fetal clavicular fracture, which reduces the diameter of the shoulder girdle that requires to pass through the birth canal

A

Gaskin maneuver

51
Q

which makes the opening of the birth canal laxer by breaking the connective tissue between the two pubes bones facilitating the passage of the shoulder

A

maternal symphysiotomy

52
Q

where a hysterotomy facilitates vaginal delivery of the impact shoulder outlet

A

abdominal rescue

53
Q

is a form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury in which the eighth cervical (C8) and first thoracic (T1) nerves are injured either before or after they have joined to form the lower trunk. The subsequent paralysis affects, principally, the intrinsic muscles of the hand (notably the interossei, thenar and hypothenar muscles)[10] and the flexors of the wrist and fingers (notably flexor carpi ulnaris and ulnar half of the flexor digitorum profundus).[he classic presentation of Klumpke’s palsy is the “claw hand” where the forearm is supinated and the wrist and fingers are flexed. If Horner syndrome is present, there is miosis (constriction of the pupils) in the affected eye.

A

Klumpkes paralysis

Reproductive (19 decks)

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