Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrics > Normal L&D and Complications > Flashcards

Normal L&D and Complications Flashcards

1
Q

This term means relationship of long axis of fetus to long axis of birthing human?

A

Lie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

This term describes the fetal structure closest to the pelvic opening?

A

Presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

This term describes the fetal position in the birth canal?

A

Station

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the stretching and thinning of the cervix?

A

Effacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the opening of the cervix?

A

Dilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

This term is defined as regular contractions causing cervical dilation and effacement?

A

true labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

This term is defined as real contractions that don’t cause cervical change?

A

false labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When is stage one of labor?

A
  • ## from onset of true labor to complete cervical dilation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is stage 2 of labor and what happens to mama and fetus during this stage?

A
  • From complete cervical dilation to birth of fetus
  • Mama will have urge to push
  • Fetus will go through 6 cardinal movements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Placenta normally separates at what time period after birth?

A

2-10 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

a fresh show of blood, the umbilical cord lengthening, the fundus rising up, and the uterus becoming firm are all signs that what is happening?

A

Placenta is leaving the building…. uterus, leaving the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens in stage 3 of labor?

A

Fetus and placenta are birthed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In what stage of labor are uterine massage, and vaginal repair completed?

A

third stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is stage four of labor?

A

placental birth to the stabilization of mama (about 6H)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The first 4H immediately following birth is a high risk period for what?

A

post partum hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 6 cardinal movements of the fetus that happen in stage two of labor?

A

Descent
flexion
internal rotation
extension
external rotation
expulsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how long should you wait to clamp the umbilical cord once fetus is born?

A

1-2 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In this cardinal movement the fetus’s chin is pushed to chest so smaller portion of head presents first?

A

Extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In this cardinal movement the fetus turns its face to moms coccyx?

A

internal rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

this cardinal movement is when the fetus “crowns”?

A

extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

In this cardinal rotation, the fetal head is birthed and the shoulders align anterior and posterior to the pelvis?

A

External rotation

22
Q

In this cardinal movement the fetus should come out anterior shoulder first, then posterior shoulder?

A

Expulsion

23
Q

What is 511 in contraction monitoring?

A

contractions every 5 minutes lasting 1 minute for at least 1H

24
Q

The strap/monitor placed low on mamas belly monitors what?

A

Uterine contractions

25
Q

What tells us the frequency of contractions during labor?

A

Tocometer

26
Q

How many contractions is too many?

A

> 5 in 10 minutes

27
Q

How do we measure the frequency and force of contractions?

A

intrauterine catheter (measures pressure)

28
Q

This term means dysfunctional labor that can happen at any point before or during labor?

A

dystocia

29
Q

This type of labor last longer than normal without progression into stages; or has slower than normal changes?

A

prolonged

30
Q

This type of labor shows no changes as time passes?

A

arrested labor

31
Q

Arrest of dilation in labor is defined as what?

A

4H of adequate contractions with no cervical change

32
Q

In arrest of decent, a nulliparous person is pushing longer than ___H with no fetal descent?

A

3

33
Q

What are 3 risks of prolonged labor?

A
  • Infection.
  • Postpartum hemorrhage.
  • Future incontinence.
  • Future pelvic organ prolapse.
  • Uterine rupture
34
Q

What is a surgical enlargement of posterior aspect of vagina?

A

Episiotomy

35
Q

What are the 5 main indications for preforming an episiotomy?

A
  1. patient at high risk of a third- or fourth-degree laceration
  2. Genital mutilation HX
  3. Fetal distress
  4. Need space to use suction or forceps
  5. avoid shoulder dystocia
36
Q

What is shoulder dystocia?

A

When one of the fetal shoulders is stuck behind the mothers pelvic bone and it causes damage to the brachial plexus

37
Q

Gestation age that’s considered early term (not preterm) ?

A

37-38.6 weeks

38
Q

What gestational age is considered full term?

A

39-40.6

39
Q

What gestational age is considered late term?

A

41-41.6

40
Q

What is the major risk of delivering after 42 weeks?

A

Still birth due to placental insufficiency

41
Q

What are the two complications a mom could have if they go past 42 weeks?

A

Labor dystocia
C-section required

42
Q

What are some possible fetal complications of carrying past 42 weeks?

A
  • Macrosomia
  • meconium
  • still birth
  • intrauterine infection
43
Q

At what gestational age should elective birth induction be offered?

A

39 weeks

44
Q

This is is done for high risk births and cannot be done before 38 weeks due to higher risk of fetal death <38 weeks?

A

Labor induction

45
Q

What are the 2 steps of labor induction?

A
  1. Cervical ripening with Cervidil or cytotec 25mg intervaginal
  2. Administer oxytocin IV
46
Q

These are complications of what drug use to do what in pregnancy: hyperstimulation or fetal distress; uterine rupture; severe water intoxication; uterine muscle fatigue which can cause uterine atrophy and PPH?

A

Oxytocin used to induce labor

47
Q

This system is used to determine the favorability of a vaginal birth using the status of the cervix and the station of the fetal head?

A

Bishop score

48
Q

What is a favorable score range for proceeding with a vaginal birth using the Bishop score?

A

between 9-13

49
Q

What is the cephalic version and when is it used?

A

It is manipulation of the fetus via the abdominal wall
Indicated when the fetus is not in a good presentation

50
Q

The goal of this procedure is to assist in delivery when mom is exhausted, when there is a prolonged second stage, in fetal distress, or in the case of a maternal medical condition. The baby must be in perfect station!

A

Operative vaginal delivery

51
Q

What is Operative vaginal delivery?

A

Use of forceps or suction to help get the fetus out of the vagina and avoid a c-section

Obstetrics (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions