Midterm Notes Flashcards
Doctors give vaccines because
That’s what they were taught
When utilizing the leg lag leg check during WEbster’s technique you are trying to identify
Posterior rotated sacrum
At what point during a healthy pregnancy should you become concerned about the babies position in the womb and why
7 months, there may be a limitation of space
Caput Succedarum may occur because
The baby’s head was stalled against the cervix
Cephalahematoma is defined as
Bleeding between the periosteum and the cranial bones
A capput succadaneum will usually clear in
36 hours
At what age and why does the rooting reflex disappear in an alert child
4 months - comes under voluntary control
If the birth process was not natural, medical intervention was used, what may have been used and or done
Mark all that apply
Forceps
Epidural
Episiotomy
C-section
Vacuum extraction
Facial paralysis is more commonly seen during what kind of delivery
Forceps
What reflex can you use to diagnose this baby (baby with one eye closed and mouth open)
Blink aka dazzle
At what age does the parachute reflex begin to develop
6 months
Long bone fractures are more likely to occur during a ____ birth
C-section
While performing the plantar babinski reflex on a newborn you should
Stroke the lateral dorsal aspect of the foot
The baby’s shoulder becomes lodged behind the pubic bone during delivery; this can result in a significant birth injury. This position is known as
Shoulder dystocia
If a pregnant patient comes to you complaining of being clumsy, you should explain to her that it is a result of
An increase in relaxin
If you are stroking the skin over the paraspinal muscles of an infant from the top of their spine to the sacrum what reflex did you just perform
Gallant
When a child is born premature you gage their milestones according to ____ in reaching their milestones
When their due date, approximation date, was
The palmer grasp reflex should be performed
Bilaterally
After performing the 3rd and 4th maneuvers of leopold’s you locate a smooth structure on the patients left side and a prominent head palpation on the right side, you just palpated the ____ and _____
Spine and occiput
If a child’s head circumference measurement is high on the percentile charts what should you do
Mark all that apply
Look at the family
Measure for a few weeks before making any other decisions
You performed webster’s technique on a pt that’s presenting with a transverse breech baby, on her next visit you find the baby is now in a head up breech presentation
This is normal
During webster’s technique applying pressure to the trigger points is to relax the ____ ligament
Round ligament
A factor that may affect the subluxation pattern in the pregnant patient are/is ____
Mark all that apply
Number of pregnancies
Level of exercise
Past trauma to the pelvis
Demands of daily living/lifestyle
External version is one of the ways the medical community tries to turn a breech baby, this procedure may involve
The patient being sedated
The use of an epidural
Inducing labor
An ER ready for stand by
If a woman is thinking about having a breast augmentation but she is also concerned about breastfeeding if she chooses to have children. What type of incision should she AVOID
Smile incision around the areola
A delivery using forceps is considered more dangerous for the mother than for the baby. T/F
True
A birth related injury that may occur from shoulder dystocia is
Erb’s palsy
The normal axial pull according to the study done by dr. Towbin, on a baby’s head/neck during delivery in a hospital setting may be between
90-120 pounds of force
The walking/stepping reflex will disappear around 6 weeks of age because
The ratio of leg weight to strength
When performing the otolith reflex you observe that the baby cannot laterally flex to the right and their head is rotated to the right. This may indicate
Mark all that apply
Atlas laterality on the right
Torticollis
Difficulty breast feeding on the right
Applying counter pressure to the lower or upper uterine segment while palpating a fetal component in-utero is known as ____ and is done to determine ____
Mark 2 answers
Ballottment maneuver
If the baby has space
The ideal position for a baby in the womb is
Vertex occiput anterior position
Undeveloped sutures is known as
Craniosynostosis
During an examination of a pregnant patient you take her through the low back ranges of motion, when you bring her into extension she complains about a dully achy pain. This symptom is being caused by
Facet syndrome
Milestones are an important gagefor observing development in pediatric patients. T/F
True
After adjusting a pregnant patient, she should rest in the supine position for at least 30 minutes. T/F
False
When a fetus is in ____ breech this means both hips are in flexion adn one knee is in extension
Incomplete
During a vacuum extraction, bruising under the periosteum is common. When the red blood cells break down the baby is likely to become
Jaundice
After a feeding, the baby’s rooting reflex will remain unaffected, the response will be the same as it was prior to eating. T/F
False
A pregnant patient comes into your office complaining of a shrap pain in her pubic region when she tries to stand up, she is 8 months pregnant. What do you suspect
The baby is in the facial/brow position
If the moro reflex aka startle reflex is not present at birth it may be due to
Mark all that apply
A fractured clavicle
Erb’s palsy
If a baby goes through the birthing canal while in the facial positioin what subluxation are they vulnerable too
AS occiput
When a baby is in the ___ position, this means both hips are in flexion and both knees are in extension
Frank breech
Sharp pain in flexion with a pregnant patient is caused by
Discs
Dull pain in flexion with pregnant patient is caused by
Facet joints
Breech presentations may effect the baby and/or the pregnancy how
Mark all that apply
Biomechanical stress to the baby
Increases the stress on the mother
Chance of a prolonged labor
When a patient presents with a baby in the transverse position in utero and you perform webster’s technique where will you find the trigger points
Bilaterally
The healing time after a healthy vaginal birth is 5-10 days the healing time for c-section is
4-6 weeks
The first condition to usually appear during pregnancy is
Intercostal neuralgia
When using websters technique, you are adjusting the sacrum to affect the
Uterosacral ligament
What position was this baby in utero
Frank breech
During pregnancy the pubic symphysis will widen, it starts around .5mm it may widen up to
12 mm
