Exam 3 Abn Preggo 4

Question 1

Cephalopelvic Disproportion is?

Answer 1

Baby won’t fit thru pelvis

Question 2

Cord Prolapse is?

Answer 2

Cord descends alongside or beyond presenting part

Question 3

Cord Prolapse: Overt?

Funic?

Occult?

Answer 3

Cord visible

Palpable pulsatile mass

Fetal heart rate changes

Question 4

Cord Prolapse tx? (3)

Answer 4

Trendelenburg
Reduce cord
Immediate C-Sec

Question 5

Shoulder Dystocia is?

Answer 5

Emergency
Inability to deliver shoulders after head
Fetal damage/death

Question 6

Shoulder Dystocia risk factors? (4)

Answer 6

Big baby
GDM
Obese mom
Postterm

Question 7

Fetal Intolerance to Labor: Goal?

Answer 7

Recognize dangerous ∆s in O2

Question 8

Early HR deceleration from?

Variable?

Late?

Answer 8

head compression

cord compression

uteroplacental insufficiency

Question 9

Vaginal Birth after Cesarean Section (VBAC) maternal risks? (4)

Answer 9

Uterine rupture
Hysterectomy
Transfusion
Endometritis

Question 10

VBAC fetal risks? (3)

Answer 10

Hypoxia
Acidosis
Death from placental rupture

Question 11

Risks of multiple C-Sec? (2)

Answer 11

↑ operative injury from scarring

↑ placenta previa/accreta (deep attachment)

Question 12

Postpartum Hemorr most C cause?

Leads to? (5)

Answer 12

uterine atony

Resp distress
Coag
Shock
Lost fertility
Pituitary necrosis (Sheehan's)

Question 13

Postpartum Hemorr risk factors? (5)

Answer 13

Prolonged labor
Rapid labor
Episiotomy
Preeclamp
Chorioamnio

Question 14

Postpartum Hemorr diagnostics? (3)

Answer 14

10%↓ in hct
Need for transf
S/S of blood loss: tachy, ortho ∆s, oliguria, shock

Question 15

Postpartum Hemorr tx? (5)

Answer 15

Uterine massage
Pitocin
Methergine
Misoprostol
Surgery