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Clin Med- Repro > Labor/Delivery Lecture > Flashcards

Labor/Delivery Lecture Flashcards

1
Q

Parturition

A

act of giving birth to young; childbirth

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2
Q

progesterone withdrawal

fetal lung maturity

fetal adrenal glands

baby ready, may signal mother’s posterior pituitary gland so she begins to release her own oxytocin

A

initiates labor

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3
Q

cervical dilatation 0-10cm

*longest by far, 7-14 hours average
EARLY/LATENT- ACTIVE- TRANSITION

A

first stage of labor

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4
Q

10 cm-birth of baby

average 1-3 hours

A

second stage of labor

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5
Q

birth to delivery of placenta

10-15 mins of average, may be up to 30 mins

A

third stage of labor

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6
Q

effacement (shortening and thinning)

dilation

A

cervical changes during labor

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7
Q

progression in dilation and progression of intensity of contractions

A

true labor

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8
Q

bloody show presents how many hours before onset of labor

A

24-48 hours

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9
Q

what exam do you do to determine true vs false labor?

A

Sterile vaginal exam

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10
Q

How many weeks should the baby be in their down positions?

A

34 weeks

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11
Q

cervix 0-10 cm, what stage of labor?

A

first stage

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12
Q

Uterine ctx continue

Uterine fundus at level of umblilicus

“Folding” of placenta at implantation site

Spongy decidua -uterine lining (endometrium) which forms the maternal part of the placenta

Formation of hematoma between placenta and decidua

A

3rd stage of labor

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13
Q

How long does placental separation usually take?

A

10-15 mins (but may be up to 30)

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14
Q
  • lengthening of umbilical cord
  • uterus changes to more globular shape and becomes firm
  • uterus rises, placenta descends
  • gush of blood occurs
A

4 traditional signs of placental separation

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15
Q

Pitocin*
Misoprostol
Methergine
Hemabate

these are meds used to help with

A

post partum hemorrhage

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16
Q

monitor fetal HR every _____ mins in active labor

A

30 mins

and even every 5-15 mins in second stage of labor

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17
Q

how common are spontaneous abortions?

A

1/5 women

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18
Q

pregnancy that occurs outside the uterus

always non viable

A

ectopic pregnancy

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19
Q

occurs in 1/50 pregnancies

usually diagnosed by 8 weeks

A

ectopic pregnancy

20
Q

is produced during pregnancy by specialised trophoblast cells, which are only found in the body as a result of a fertilised egg implanting.

A

Human Chorionic Gonadatropin (HCG)

21
Q

when do we give Rhogam

A

if mom is Rh negative, we give Rhogam at 28 weeks and after birth

22
Q

Anemia
Hemolytic dz of newborn
Hydrops fetalis
Still birth

*higher in caucasian women

A

RH complications

23
Q

Biggest cause of pregnancy complications

A

HTN disorders

ie preeclampsia

24
Q

Onset of htn and or proteinuria or end-organ dysfunction after 20 weeks of gestation in a previously normotensive woman.

A

Preeclampsia

25
Q

140/90 on 2 occasions, at least 4 hours apart, or 160/110

Proteinuria 0.3 gm in 24 H or protein/creatinine ratio (urine dipstick)

A

Used to diagnose preeclampsia

26
Q

Eclampsia is diagnosed when what happens?

A

A seizure

27
Q

Preeclampsia is a disease of the…

A

placental vasculature

28
Q

Prevention and tx of seizures in women with preeclampsia and eclampsia

-fetal neuroprotection before anticipated early preterm

A

Magnesium Sulfate

29
Q

Preferred treatment of eclampsia/preeclampsia

A

delivery!!

30
Q

Preeclampsia is a serious condition that typically starts after the ____ week of pregnancy

A

20th

31
Q

Systolic B/P greater than or equal to 140 and or diastolic greater to or equal to 90 that antedates pregnancy, is present before the 20th week, or persists longer than 12 weeks postpartum.

A

Chronic HTN

32
Q

Elevated blood pressure first detected after 20 weeks gestation in the absence of proteinuria or other diagnostic features of preeclampsia.

A

Gestational HTN

33
Q

Severe form of preeclampsia:

  • Hemolysis (destruction of red blood cells)
  • Elevated Liver enzymes
  • Low Platelets
A

HELLP syndrome

pulmonary edema can also be a severe side effect

34
Q

Cure for HELLP syndrome

A

Delivery ASAP

35
Q

What does magnesium do to smooth muscle?

A

Relaxes

36
Q

Defined by Glucose Intolerance that begins or is first recognized in pregnancy

-characterized by peripheral insulin resistance and declining B-cell function. Similar to type II diabetes

A

Gestational diabetes

37
Q

Increased risk of dystocia

Increased risk of hypoglycemia postpartum for infant

A

risks of gestational diabetes

38
Q

Screen for gestational diabetes in asymptomatic women after ___ weeks gestation

A

24

39
Q

If pregnant woman has hyperemesis and is throwing up a LOT..what should you check?

A

Thyroid

40
Q

VERY high HCG levels, no heart beat but lots of pregnancy symptoms. what could it be?

A

Molar pregnancy (gestational trophoblastic disease)

41
Q

occurs when gas exchange and nutrient delivery to the fetus are not sufficient to allow it to thrive in utero.

A

Intrauterine growth restriction (IUGR)

42
Q

true or false….

you should get a urinalysis at first prenatal visit

A

TRUE! (for asymptomatic bacteriuria)

43
Q
  1. poor uterine contractions
  2. malpresentations and malpositions
  3. disproportion between fetal size and pelvis size
A

dystocia

44
Q

High parity
Over-stimulation with oxytocin or other induction agents
Previous C-Section and subsequent long labor

*fetal mortality rate of 50-75%

A

uterine rupture

45
Q

Leading cause of maternal mortality worldwide

*greater than 500 cc blood loss after vaginal birth or greater than 1000 cc blood loss after C section

A

Postpartum hemorrhage

Clin Med- Repro (11 decks)

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