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FPC Stuff > OB > Flashcards

OB Flashcards

1
Q

Mauriceau’s maneuver

A

method of delivering the head in an assisted vaginal breech birth

performed by placing the index and middle fingers over the maxillary prominence on either side of the nose. fetal body is supported in the neutral position

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2
Q

Total breech extraction

A

Fetal feet are grasped and the entire fetus is extracted

only used for noncephalic second twin

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3
Q

Frank breech

A

Buttocks comes first and legs are flexed at the hip and extended at the knees

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4
Q

Complete

(Breech)

A

Hips and knees are flexed so that the baby is sitting cross legged with feet beside the buttocks

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5
Q

Footling

(Breech)

A

One or both feet come first with the buttocks at a higher position

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6
Q

Kneeling

(Breech)

A

Kneeling position, with one or both legs extended at the hips and flexed at the knees

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7
Q

Hyper tonic/ Hyperstimulated Uterus

A

fewer than five contractions in 10 minutes but interval between contractions is less than one minute

Can be caused by oxytocin overdose

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8
Q

Early Deceleration (FHR)

A

Transient decrease in heart rate that coincides with the onset of a uterine contraction

mirror image of contraction

Not a bad thing

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9
Q

Late Deceleration (FHR)

A

Transient decrease in heart rate occurring at or after the peak of a uterine contraction

may indicate fetal hypoxia/ uteroplacental insufficiency

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10
Q

Variable Deceleration (FHR)

A

Transient series of declarations that vary in intensity, duration, and relation to uterine contraction

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11
Q

Periodic Changes (FHR)

A

accelerations or decelerations in the fetal heart rate associated with uterine contractions

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12
Q

Episodic Changes (FHR)

A

Accelerations or decelerations in FHR not associated with uterine contractions

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13
Q

Prolonged Deceleration (FHR)

A

last more than 2 minutes/ less than 10 minutes
More than 15 BPM below baseline

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14
Q

“The Big Three” of PIH

A

Hypertension(rise of systolic 30mmHG/diastolic-15mmHg/Blood pressure of 140/90 or higher)

Edema

Proteinuria

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15
Q

HELLP Syndrome

A

(Hemolysis, elevated liver enzymes, low platelets)

Complication of severe preeclampsia
**A platelet count lower than 100,000/mm-3

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16
Q

Methergine(Methylergonovine)

A

Blood vessel constrictor and smooth muscle agonist

Used to prevent or control excessive bleeding following childbirth and spontaneous or elective abortion

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17
Q

Most common place for ectopic pregnancy?

A

Fallopian tube

Can occur in cervix, ovaries, and abdomen

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18
Q

Betamethasone ( Celestone)

What is it used for?

A

Steroid used to stimulate fetal lung maturation(Prevention of ARDs and decrease the incidence and mortality from intracranial hemorrhage in premature infants

Mother receives injection

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19
Q

Intermittent, painless contraction that may occur every ten to twenty minutes after first trimester

A

Braxton Hicks

20
Q

Nitrazine paper

A

Used to test vaginal (pH is normally acidic)/ pH above 7.0 can indicate amniotic sac rupture= blue color

21
Q

Excessive mag sulfate/ overdose presentation

A

Respiratory depression and loss of deep tendon reflexes

22
Q

Contraindications for mag sulfate

A

Myasthenia gravis and renal failure

23
Q

Terbualine (Brethine)

Tocolytics

A

Beta- Sympathomimetic

relaxes smooth muscle in the uterus to inhibit uterine contractions

contraindicated for cardiac dysrhythmia

24
Q

Nifedipine(Procardia, Adlat)
Nicardipine (Cardene)

Tocolytics

A

Calcium channel blockers

Antagonizes the action of calcium within the myometrial cells to reduce its contractility

Nifedipine is primary

25
Q

Magnesium Sulfate

Tocolytics

A

Intracelluar calcium is displaced by magnesium ions to inhibit uterine contractions

26
Q

Indomethacin
Ketorolac
Sulindac

Tocolytics

A

NSAIDs

limit use of to 48 hours
should not be used when women have significant renal or hepatic disease, active peptic ulcers, coagulation disorders, or thrombocytopenia

27
Q

Nitroglycerin

tocolytic

A

Has been used to relax a hypertonic uterus during delivery

28
Q

Adverse effects of Terbutaline

A

hyperglycemia, cardiac dysrhytmias, MI, PE, hypotension, and tachycardia

Fetal adverse effects are hyperinsulinemia= potential newborn hypoglycemia, tachycardia, hyperglycemia, myocardial and septal hypertrophy

29
Q

Macrosomia

A

Newborn with excessive birth weight

30
Q

Leading cause of preterm labor

A

Infection

31
Q

Fetal dystocia

A

abnormal fetal size or position

32
Q

Shoulder dystocia

A

presentation is vertex, but the anterior fetal shoulder is lodged behind the symphysis pubis, preventing vaginal delivery

recognized when fetal head is delivered onto the perneum but appears to be pulled back tightly against the perineum

33
Q

Precipitate

A

Abnormally rapid labor with strong contractions, rapid cervical dilation, rapid descent of the presenting part and delivery usually occurs in 2 hours from the start of the contractions

34
Q

Retained placenta

A

Normally separates from the uterus spontaneously in 5- 20 mins after delivery

Retained= doesn’t completely come out

35
Q

Umbilical cord prolapse actions that need to be taken

A

elevating the presenting part off the cord with a hand in the vagina to prevent further cord compression/ patient is placed in trendelenburg or knee- chest position/ give tocolytics

36
Q

Treatment goal for pregnant women with hypertension is

A

diastolic blood pressure of 90-100 mmHg

37
Q

If there is a possible chance of concealed bleeding in pregnant female, how do you assess?

A

measuring fundal height

38
Q

Uterine atony

A

major cause of postpartum hemorrhage due to loss of tone in uterine musculature

39
Q

Lepold’s Maneuver

A

common and systematic way to determine position of the fetus

40
Q

Overdose of what medication can lead to a hyperstimulated uterus?

A

Overdose of oxytocin

41
Q

What can lead to a fetus presenting with variable decelerations

A

Cord Problems (prolapse, nuchal, short, compression)

42
Q

Acceleration in FHR for pregnancies under 32 weeks is considered?

A

Baseline change of 10 or more for 10 seconds 

43
Q

Causes of late deceleration

A

Pregnancy induced hypertension, diabetes, cardiovascular or kidney disease, smoking, and fetus past date

44
Q

How does FHR variability present with mag sulfate administration

A

Possible decrease can present

45
Q

When does preeclampsia occur

A

After 20 weeks/end of second trimester and beginning of third

46
Q

Diastolic BP should be managed at what for pregnancy induced hypertension

A

90-100 mmHg

FPC Stuff (15 decks)

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