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Maternal > Intrapartum Period > Flashcards

Intrapartum Period Flashcards

1
Q

process by which the product of conception are expel from the body

A

labor

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2
Q

actual birth process

A

delivery

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2
Q

4Ps in intrapartum factors

A
  1. passenger
  2. pelvis
  3. power
  4. psyche
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2
Q

what is the most presenting, important, larget part, and least compressible part of passenger (fetus)?

A

fetal head

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3
Q

it is the membrane tissues between bones (important for molding)

A

suture lines

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4
Q

overlapping of cranial bones

A

molding

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4
Q

suture lines

lies between 2 frontal bones

A

mitotic / frontal

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5
Q

suture lines

between parietal bones

A

sagittal

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6
Q

suture lines

between frontal and parietal bones

A

coronal

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6
Q

fontanels

  • lies between frontal, sagittal, and coronal sutures
  • diamond in shape
  • should be closed at 12-18 month
A

anterior (large fontanel)

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6
Q

suture lines

between parietal and occipital

A

lambdoidal

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7
Q

membrane covered spaces at the junction of suture lines

A

fontanels (bunubunan)

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8
Q

fontanels

  • lies between sagittal and labdoidal
  • trinagle in shape
  • closes at 2-3 months
A

posterior (small fontanel)

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9
Q

areas of the skull

lies in the posterior (small) fontanel

A

occiput

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10
Q

areas of the skull

positioned between anterior and posterior fontanel

A

vertex

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11
Q

areas of the skull

area of the large fontanel

A

bregma

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12
Q

areas of the skull

brow area

A

sinciput

13
Q

transverse diameter

parietal =
bitemporal =
bimastoid =

A

parietal = 9.25 cm
bitemporal = 8 cm
bimastoid = 7 cm

14
Q

antero posterior diameter and attitue

parietal =
bitemporal =
bimastoid =

A

parietal =narrowest, 9.5 cm, full flexion
bitemporal = 12 cm, moderate flexion
bimastoid = widest, 13 cm, poor flexion

15
Q

relationship of the presenting parts to the maternal pelvis

A

fetal presentation

16
Q

fetal presentation

-96% of all presentations
- vertex, face, brows

A

cephalic

17
Q

fetal presentation

  • buttocks, feet, or both
    could be:
    a. complete / full (yoga position)
    b. frank (U position, buttocks is the presenting part)
    c. footling (single foot )
A

breech

18
Q

fetal presentation

shoulder (DUUUH)

A

shoulder

19
Q

relationship of presenting part to the maternal ischial spine
- expressed in integers

A

fetal station

20
Q

fetal station

  • freely movable above the ichial spine / pelvic inlet

around -4 to -1

A

floating

21
Q

fetal station

  • has reached the level of the pelvic inlet
A

engangement

22
Q

relationship of presenting part to a specific quadrant of maternal pelvis

A

fetal position

22
Q

6 segment of maternal pelvis

A

right: anterior, transverse, posterior
left: anterior, transverse, posterior

23
Q

landmark of fetus

occiput

A

vertex

24
Q

landmark of fetus

mentum

A

face

25
Q

landmark of fetus

sacrum

A

breech

26
Q

landmark of fetus

scapula

A

shoulder

27
Q

relationship of fetal axis to the maternal axis

A

fetal lie

28
Q

fetal lie

  • fetal axis is perpendicular / right angle to the maternal axis
A

transverse lie

28
Q

fetal lie

  • fetal axis is parallel to maternal axis (cephallic or breech)
  • most common, 99%
A

longitudinal lie

29
Q

> characteristic posture of the fetus inside
a.c.a degree of flexion
relationship of fetal parts to each other in the uterus

A

fetal attitude

30
Q

it is the bones structure twhere the fetus pass through during birth

A

pelvis

31
Q

types of pelvis
- normal female pelvis
-round inlet
- ideal for vaginal delivery

A

gynecoid

32
Q

types of pelvis
-normal male pelvis
-heart shaped inlet

A

android

33
Q

types of pelvis
-open like pelvis
- oval inlet

A

anthropoid

33
Q

types of pelvis

  • flat female pelvis
  • transverse oval inlet
A

platypelloid

Maternal (12 decks)

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