Keppler - 4

Question 1

4 types of malpresentation

Answer 1

breech

transverse

compound

face or brow

Question 2

3 types of breech

Answer 2

complete

flank

incomplete/footing

Question 3

what is transverse breech

Answer 3

back up vs down

Question 4

management of cephalic malpresentation

Answer 4

external cephalic version

Question 5

why do we like external cephalic version

Answer 5

better chance of vaginal delivery

Question 6

4 contraindications to external cephalic version

Answer 6

non-reassuring fetal status

fetal anomalies

not a singleton pregnancy

cesarean indicated

Question 7

late-term pregnancy definition

Answer 7

41-42 weeks

Question 8

post-term pregnancy definition

Answer 8

42+ weeks

Question 9

NST categories

Answer 9

I-III

Question 10

baseline (reactive) NST category

Answer 10

I

Question 11

when do we worry about NST findings

Answer 11

anything after I

Question 12

what does VBAC stand for

Answer 12

vaginal birth after cesarean

Question 13

candidates for VBAC

Answer 13

1-2 prior cesareans

known (or assumed) low transverse uterine scar

no other prior uterine surgery

no contraindication to vaginal delivery

obstetrician and anesthesia in house

Question 14

why do we care about cesarean scar

Answer 14

1 in 400 chance scar could rip open and mom could hemorrhage → permanent harm to baby

Question 15

problem w. cesarean

Answer 15

higher risk to mom

Question 16

problem w. VBAC

Answer 16

higher risk to baby

Question 17

the risk of shoulder dystocia rises w.

Answer 17

size of baby

Question 18

change in cervical dilation or fetal station that is slower than predicted or stopped altogether

Answer 18

abnormal labor

Question 19

3 p’s

Answer 19

power

passenger

pelvis

Question 20

procedure to manually rotate fetal body into a position compatible w. vaginal delivery

Answer 20

external cephalic version (ECV)

Question 21

post-term pregnancy definition

Answer 21

any pregnancy beyond 40 weeks gestation

Question 22

post term pregnancy is associated w. (3)

Answer 22

fetal heart rate abnormalities

abnormal labor

cesarean

Question 23

what is used to assess fetal oxygenation in labor

Answer 23

continuous fetal

Question 24

__

and __ suggest temporary or chronic fetal hypoxia

Answer 24

pathologic decels

Question 25

VBAC decreases __ risks

Answer 25

maternal risks

Question 26

failure of passage of presenting shoulder under the maternal pubic symphysis

Answer 26

shoulder dystocia

Question 27

risks of shoulder dystocia

Answer 27

hypoxia

death