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Obstetrics > Normal Labor And Delivery > Flashcards

Normal Labor And Delivery Flashcards

0
Q

Most common fetal lie

A

Longitudinal

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1
Q

Longitudinal axis of the fetus to that of the mother

A

Fetal lie

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2
Q

Portion of the fetal body within the birth canal or in closest proximity to it

A

Fetal presentation

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3
Q

Characteristic fetal posture

A

Fetal attitude

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4
Q

Relationship of the chosen fetal presenting part to the right or left side of the maternal birth canal

A

Fetal position

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5
Q

Most common fetal position

A

Occiput anterior, left

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6
Q

Leopolds maneuver: what part occupies the fundus?

A

Leopolds maneuver: what

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7
Q

Leopolds maneuver: what side is the fetal back

A

2nd maneuver

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8
Q

Leopolds maneuver: what part lies over the pelvic inlet

A

Pawlick’s grip; leopolds 3

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9
Q

Leopolds maneuver: which side is the cephalic prominence

A

Leopolds IV

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10
Q

Sagittal suture approaches the sacral promontory; ANTERIOR PARIETAL BONE PRESENTS

A

Naegele’s obliquity

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11
Q

Sagittal suture lies close to the symphysis pubis; POSTERIOR parietal bone will present

A

Litzman obliquity

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12
Q

Most reliable sign of labor

A

Cervical dilatatiob

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13
Q

Test to confirm amniotic fluid: collection of fluid in the vagina

A

Pool test

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14
Q

Test to confirm amniotic fluid: nitrazine test is positive if paper turns what color

A

Blue

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15
Q

Test to confirm amniotic fluid: crystalization

A

Fern test

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16
Q

4 parameters of the cervix that are examined

A

Effacement, dilatation, cervical consistency, cervical position

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17
Q

Bishop scoring criterion include

A

Dilatation, effacement, station, cervical consistency, cervical position

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18
Q

Bishop score of what indicates probability of vaginal delivery after labor induction is similar to that after spontaneous labor

A

8

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19
Q

Most important force in the expulsion of the fetus

A

Maternal intraabdominal pressure

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20
Q

Extreme thinning of the LUS

A

Pathologic retraction ring/ Ring of Bandl

21
Q

Descent of fetal head to below pelvic inlet

A

Engagement

22
Q

First prerequisite for birth

A

Descent

23
Q

Downward movement of fetus through birth canal

A

Descent

24
Q

Chin moves towards the thorax due to resistance of maternal structures

A

Flexion

25
Q

Rotation of fetal head from transverse to AP

A

Internal rotation

26
Q

Movement of chin away from the thorax

A

Extension

27
Q

Direct fetal head upward and forward to pelvic outlet

A

Extension

28
Q

Restitution; return of the presenting part towards the position it is originally directed

A

External rotation

29
Q

Emerging of remainder of fetus

A

Expulsion

30
Q

How long is the latent phase of labor?

A

Nullipara <4hrd

31
Q

How long is the active phase of labor

A

<1.5cm/hr (MULTI)

32
Q

How long is the 2nd stage of labor?

A

50 mins= NULLI; 20 mins= MULTI

33
Q

How long is the 3rd stage of labor?

A

5 mins- Up to 30 mins

34
Q

Active phase: predictive of outcomr of labor

A

Acceleration phase

35
Q

Active phase: measure of overall efficiency of the machine

A

Phase of maximum slope

36
Q

Active phase: reflective of the fetopelvic relationship

A

Deceleration phase

37
Q

Anesthesia for stage 1 of labor:

A

natural, IM or IV narcotics (meperidine/morphine), paracervical block

38
Q

Anesthesia for stage 2 of labor

A

Epidural block; pudendal block

39
Q

SE of meperidine/ morphine

A

Resp depression

40
Q

SE of paracervical block

A

Fetal brady

41
Q

SE of epidural block

A

Maternal hypotension and spinal headache

42
Q

Laceration of the anal sphincter

A

3rd degree

43
Q

Laceration of fascia ad perineal muscles

A

2nd degree

44
Q

Laceration of rectal mucosa

A

Fourth degree

45
Q

Sign: uterus becomes globular and firmir

A

Calkin sign

46
Q

Detachment from central portion; glistening amnion is presenting at vulva

A

Schultze

47
Q

Seperation at the periphery; maternal surface is 1st to appear

A

Duncan

48
Q

Discontinue oxytocin if?

A

Contractions: >5 (10 mins); >7 (15 mins)

49
Q

Late amniotomy is done when?

A

5cms cerv dilatation

50
Q

Used for cervical ripening:2

A

Misoprostol, PGE2 gel and vaginal insert; foley balloon; laminaria

Obstetrics (11 decks)

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