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MBBS VI - SpC - Obstetrics and Gynaecology > Labour - Intrapartum care > Flashcards

Labour - Intrapartum care Flashcards

1
Q

Monitoring and management of 1st stage of labor

A
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2
Q

Monitoring and management of 2nd stage of labor

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3
Q

Monitoring and management of 3rd stage of labor

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4
Q

History taking questions before delivery

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5
Q

Physical exam before delivery

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6
Q

Management of 1st stage of labor

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7
Q

Antepartum vaginal exam

  • What to check
  • How to perform
A
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8
Q

Procedures during crowning

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9
Q

Procedures during delivery of head, shoulder and body

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10
Q

Procedures after delivery and cord care

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11
Q

Newborn care plan

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12
Q

APGAR scoring

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13
Q

3rd stage of labor

  • Timing
  • Mechanism/ physiology
  • Active management
A
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14
Q

Examination of placenta

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15
Q

Treatment for prolonged 3rd stage of labor

A
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16
Q

Antepartum risk factors for fetal distress and compromise during labor

A
17
Q

Intrapartum risk factors for fetal distress and compromise during labor

A
18
Q

Signs of fetal distress

A

Meconium stained liquor (MSL): thick and tenacious w/ dark green / bright green / black color

CTG signs of fetal compromise: see graphs below
- fetal tachycardia (>160bpm, or steady rise over course of labor)
- loss of baseline variability (<5bpm for >50 mins; >25bpm for >25 mins)
- recurrent late decelerations
- persistent variable decelerations
- fetal bradycardia (<100bpm, or <80bpm for severe, ≥ 3 mins)

Abnormal FBS result: pH <7.2, base excess (BE) <-10
- indicate severe metabolic acidosis → ↑risk of neurological injury beyond this level

19
Q

CTG for fetal distress

Indications for continuous fetal heart monitoring

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20
Q

Causes of fetal tachycardia in CTG

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21
Q

Causes of fetal bradycardia in CTG

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22
Q

Causes of loss of baseline variability on CTG

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23
Q

Causes of recurrent and persistent decelerations on CTG

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24
Q

Fetal blood sampling

  • Indications
  • Contraindications
  • Process
A
25
Q

Fetal blood sampling

Result range

A
26
Q

Fetal blood sampling

Management of fetal compromise

A

MBBS VI - SpC - Obstetrics and Gynaecology (42 decks)

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