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Repro 2 Final AH > Normal L And D - Moulton > Flashcards

Normal L And D - Moulton Flashcards

1
Q

When is a cervical exam inappropriate?

A

Placenta previa

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3
Q

What is the minimum rate of cervical dilation for primiparas?

Multiparous?

A
  1. 2 cm/hr

1. 5 cm/hr

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4
Q

What is the most common general anesthesia induction agent used?

Carries what risk?

A

Propfol

16x inc risk of maternal mortality

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5
Q

What pelvis resembles an ape, is much larger anteroposterior than transverse diameter, has a narrow pubic arch and creates a long narrow oval shape?

Fetal head position?

A

Anthropoid

OP

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6
Q

If uncomplicated, External fetal monitoring how often in active phase of 1st stage?
2nd stage?

Complicated 1st stage?
2nd?

A

Q30 min
Q15 min

Q15 min
Q5 min

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8
Q

What allows you to assess the strength of contractions?

A

IUPC

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9
Q

Which episiotomy is most commonly performed, has greater risk of extension into 3rd or 4th degree and has less postpartum pain?

A

Midline

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13
Q

What are Braxton-Hicks contractions?

A

False labor - irregular contractions w/out cervical change

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16
Q

What bishop score is considered unfavorable?

What score is vaginal delivery good?

A

< 6

> 8

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17
Q

Supraoccipitomental is what position?

cm?

A

Brow presentation (longest)

13.5

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18
Q

When is a retained placenta diagnosed?

A

After 30 min

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19
Q

What is the artificial stimulation of labor which has already begun called?

A

Augmentation

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20
Q

What is complete dilation?

Effacement refers to what?

A

10 cm

Thinning of the cervix

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21
Q

Submentogregmatic is what position?

cm?

A

Face presentation

9.5

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22
Q

What pelvis has the widest transverse diameter w/prominent ischial spines and narrow pubic arch?

Fetal head comes through at what position?

A

Android

OP - face up

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23
Q

1st degree perineal laceration described how?

2nd?

3rd?

4th?

A

Superficial, vaginal mucosa or perineal skin

Extends into muscles of perineal body

Extends into or through anal sphincter

Involves the rectal mucosa

25
Q

Which pelvis types have good prognosis for delivery?

A

Gynecoid

Anthropoid

28
Q

Uterine contraction and cervical dilation result in visceral pain in what levels?

Descent of fetal head via what nerve?

A

T10-T12 through L1

Pudendal n. S2-S4

29
Q

What stage of labor does bloody show occur?

A

2nd

31
Q

What are pitocin complications?

A

Uterine tachsystole
Antidiuretic effect
Uterine muscle fatigue

32
Q

Which episiotomy has greater blood loss, is more difficult to repair, has more postpartum pain and increased risk of dyspareunia?

A

Mediolateral

33
Q

What maternal position should she be in bed?

How often monitor vitals?

A

Left lateral recumbent

Q 1-2hrs while in labor

34
Q

Suboccipitobregmatic is what position?

cm?

A

Head well flexed

9.5

37
Q

What stage of labor is complete cervical dilation to delivery of infant?

A

2nd

39
Q

What cervical ripening drug is a vaginal insert?

Can be placed vaginally or orally?

A

PGE2 - Dinoprostone

PGE1 Misoprostol

40
Q

What are the major causes for postpartum hemorrhage?

A

Uterine atony - #1
Retained placenta
Unrepaired vaginal laceration

41
Q

What stage of labor is true labor to complete cervical dilation?

A

1st - latent and active (dilated 4 cm) phases

43
Q

What pelvis type is round at the inlet, has a wide transverse diameter and a wide suprapubic arch?

Fetal head comes through what position?

A

Gynecoid

OA

46
Q

Labor is defined by regular uterine contractions occurring when and lasting how long?

A

Every 5 minutes, lasting 30-60 seconds

48
Q

Order of cardinal movements of labor?

A 
Engagement 
Descent 
Flexion
IR
Extension
ER
Expulsion

EDF IEEE

50
Q

Which pelvis has a short AP and wide transverse diamter w/bispinous diameter and a wide suprapubic arch?

Fetal head position?

A

Platypelloid

Engages transverse diameter

51
Q

Duration of 1st stage primiparas?

Multiparas?

A

6-18 hours

2-10 hours

52
Q

What stage of delivery is delivery of placenta to stabilization of pt?

A

4th

53
Q

What labor stage is delivery of infant to delivery of placenta?

A

3rd

54
Q

Leopoldo maneuver is used to assess what?

How many maneuvers is it?

A

Fetal lie

4 - start w/palpating fundus and move down

55
Q

What AP diameter of pelvic inlet is adequate?

Distance bw ischial tuberosities?

Infrapubic angle?

A

> 11.5

8.5 cm

> 90 degrees is good

57
Q

Avg circumference of fetal head?

A

34.5 cm

69
Q

Occipitofrontal is what position?

cm?

A

Head deflexed, OP position

11

Repro 2 Final AH (9 decks)

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