Exam 2 part 4

Question 1

used to relax uterus during external version

Answer 1

terbutaline

Question 2

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

Answer 2

fetal position

Question 3

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

Answer 3

occiput posterior

Question 4

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

Answer 4

compound presentation

Question 5

are the meetings of the bones of the fetal skull

Covered by a membrane

Answer 5

sutures

Question 6

are the space where two sutures meet

Covered by membrane

Answer 6

fontanelles

Question 7

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

Answer 7

fetal attitude

Question 8

normal fetal attitude when labor begins

Answer 8

flexion

Question 9

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

Answer 9

labor

Question 10

begins with onset of labor and ends with complete cervical dilation

Answer 10

stage 1

Question 11

makes up stage 1

Answer 11

Latent phase
Active phase
Transition phase

Question 12

begins with complete cervical dilation and ends with delivery of baby

Answer 12

stage 2

Question 13

begins after delivery of baby and ends with delivery of placenta

Answer 13

stage 3

Question 14

begins after delivery of placenta and is completed 4 hours later

Answer 14

stage 4

Question 15

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

Answer 15

latent phase

Question 16

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

Answer 16

active phase

Question 17

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

Answer 17

transition phase

Question 18

physician-attended births

Answer 18

lithotomy

Question 19

difficult labor or childbirth

Answer 19

dystocia

Question 20

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

Answer 20

cephalopelvic disproportion CPD

Question 21

malpostion of the fetal head

Answer 21

asynclitism

Question 22

slower than normal UC

Answer 22

protraction disorder

Question 23

complete cessation of UC

Answer 23

arrest disorder

Question 24

frequent contractions that cannot perform effectively

Answer 24

hypertonic

Question 25

weak, ineffective contraction

Answer 25

hypotonic

Question 26

artificial rupture of membranes

Answer 26

amniotomy

Question 27

labor lasting more than 18-24 hours

Answer 27

prolonged labor

Question 28

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

Answer 28

bandls retraction ring

Question 29

labor that lasts less than 3 hours

Answer 29

enexpected fast delivery

Question 30

used when fetal skull has reached the perineum | Scalp is visible between contraction

Answer 30

outlet forceps

Question 31

used when fetal skull is at +2 station or more

Answer 31

low forceps

Question 32

is the process of deliberate starting labor artificially

Answer 32

induction of labor

Question 33

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

Answer 33

augmentation of labor

Question 34

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

Answer 34

labor augmentation

Question 35

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

Answer 35

ripening

Question 36

inserted into the cervix | Made from seaweed, it expands and cause pressure

Answer 36

laminaria

Question 37

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

Answer 37

tachysystole

Question 38

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

Answer 38

ruptured vasa previa

Question 39

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

Answer 39

anaphylactic syndrome (amniotic fluid embolism)

Question 40

do not give this drug to drug dependent women

Answer 40

stadol (butorphanol)

Question 41

position for epidural

Answer 41

position patient in side-lying position

Question 42

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

Answer 42

spinal anesthesia

Question 43

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

Answer 43

Total spinal

Question 44

Treatment for total spinal

Answer 44

maintain airway | place patient on side

Question 45

ALAMER

Answer 45

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

Question 46

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

Answer 46

McRoberts maneuver

Question 47

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

Answer 47

Rubins

Question 48

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

Answer 48

Woods screw maneuver

Question 49

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

Answer 49

Jacquemiers maneuver (barnums maneuver)

Question 50

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

Answer 50

Gaskin maneuver

Question 51

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

Answer 51

maternal symphysiotomy

Question 52

where a hysterotomy facilitates vaginal delivery of the impact shoulder outlet

Answer 52

abdominal rescue

Question 53

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.

Answer 53

Klumpkes paralysis