Labor And Delivery; Anesthesia Flashcards
Quantifiable method used to predict labor induction outcomes
Bishop score
Bishop score components
SPCED
Station Position Consistency Effacement Dilation
Safest drug for induction
Oxytocin
What term is used when the anterior fontanel is the presenting part?
Sinciput
Rate of cervical dilatation in nullipara and multipara
Nullipara-1.2 cm per hour
Multipara- 1.5 cm per hour
Prolonged latent phase in nullipara
20 hrs
Prolonged latent phase in multipara
14 hours
Postion of fetus upon entering the maternal pelvis
LOT
Greatest transverse diameter in an occiput presentation
Biparietal diameter
Pelvic inlet corresponds to this structure
Linea terminalis
Lateral deflection of the saggital suture either posteriorly toward the promontory or anteriorly toward the symphysis
Asynclitism
The linea terminalis consists of 3 structures
Pubic crest
Pectineal line
Arcuate line
Promontory to upper margin of symphysis is what diameter
True/Anatomic conjugate
True conjugate measures
11cm
Promontory to the posterior symphysis is what diameter
Obstetric conjugate
The obstetric conjugate is measured by
Subtract 1.5-2 cm from diagonal conjugate
Obstetric conjugate is normally
> 10cm
The only conjugate that is measured manually
Diagonal conjugate
Diameter that is from the promontory to the lower margin of the symphysis
Diagonal conjugate
What is the normal value of the diagonal conjugate
11.5cm
This diameter measures the greatest diameter between the linea terminalis
Transverse conjugate
Normal transverse conjugate
13cm
First requisite for birth of the newborn
Descent
Cardinal movement that is essential for the completion of labor
Internal rotation
The goal of the third stage of labor is
Prevent uterine inversion
Signs of placental separation
Globular fundus
Sudden gush of blood
Lengthening of cord
Rise of uterus in the abdomen
Perineal laceration up to the perineal body
2nd degree
Perineal laceration up to the anal sphincter
3rd degree
Perineal laceration up to the rectal mucosa
4th degree
Must give oxytocin 10 units IM after the delivery of
Anterior shoulder
Indication of operative vaginal delivery includes
Prolonged second stage
Forceps is properly handled by
Pencil grip
Vertical insertion
Right thumb directing
Engagement and descent of breech include that the _____ diameter is in the oblique diameter
Bitrochanteric
Does the anterior or posterior hip descend more rapidly in breech?
Anterior
Frank breech decomposition is also called this maneuver
Pinard
Breech extraction where both feet are grasped through the vagina
Complete breech extraction
In partial breech extraction, the fetus is allowed to spontaneously deliver up to the level of the
Umbilicus
Incision on the cervix at 2 and 10 o clock position to minimize bleeding from the uterine artery branches
Dührssen incision
Delivery of the aftercoming head is done through this maneuver
Mauriceau
What is the direct cause of most maternal deaths involving regional anesthesia
High spinal blockade
What anesthetic is associated with neurotoxicity and cardiotoxicity in the same serum levels?
Bupivacaine
What is the most common complication encountered during epidural anesthesia?
Hypotension
