labor and delivery Flashcards
cervical exam is composed of
dilation, effacement, station (ischial spine - where baby is) Negative is not ready
Stage 1 phase 1 of labor ends when cervix is at
4 dilated
Stage 1 phase 2 of labor ends when cervix is at
rapid 10 cm dilation
Stage 2 is
10cm to delivery
Stage 3 is
baby is delivery and placenta is also pulled
Stage 4 is
2 hours post delivery
Cardinal movements are?
fetal movement and engages into pelvis
Contraindication for Epidural or Spinal anesthesia?
HoTN, Coagluation, ICP, anatomic back issues
pain control in stage 1 of labor is
IM/IV epidural or anesthesia
pain control in stage 2 of labor is
pudendal block - rarely done
When can you induce labor? when do you do ICS for fetus?
40 weeks
<34 weeks - ICS for lungs
what do you give to induce labor?
oxytocin/pit
Bishop score of 6 =
vaginal birth
apgar scores done 1 and 5 mins. <6 is
abnormal
agpar is
appear, pulse, grim, activity, resp - color (always pink)
reasons for c-sec
fail at labor, fetal distress, fetal malpresentation (breech), prior c-sec
c-sec antibacteria prof is
cephalin
complication of c-sec
Uterine Rupture
vertical scar on uterus is a contraindication for vaginal birth
yes
Are c-sec safe with a low horizontal incision?
yes
Can you use prostoglandins for cervical ripening with VBAC?
No