OB GOLD - DYSTOCIA Flashcards

1
Q

Prolonged latent phase in nullipara is how long?

A

> 20 hours

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2
Q

Protracted descent in multipara?

A

<2cm/hr

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3
Q

Prolonged Deceleration phase in multipara?

A

> 3 hours

> 1 hour in nuillipara

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4
Q

arrest of descent happens if there is no increase in descent during deceleration phase or second stage of labor after how many hours

A

> 1 hour

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5
Q

Precipitous labor is the expulsion of fetus in ?

A

< 3 hours

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6
Q

A contracted pelvic inlet is a diagonal conjugate of

A

11.5 cm

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7
Q

a contracted mid pelvis is a bisacromial diameter of

A

< 8.5 cm

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8
Q

A contracted pelvic outlet is a BTD of

A

<8cm

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9
Q

a narrow pelvis is define by a pubic arch of less than

A

90 degrees

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10
Q

Most common injured nerve in dystocia?

A

fibular nerve

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11
Q

Maneuver which causes straightening of the sacrum and decrease in angle of pelvic inclination?

A

McRobert’s maneuver

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12
Q

maneuver which applies suprapubic pressure abdominally?

A

Mazzanti maneuver

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13
Q

Vaginal maneuver of anterior shoulder disimpaction?

A

Rubin’s maneuver

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14
Q

maneuver to rotate the posterior shoulder

A

wood corkscrew manuever

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15
Q

maneuver which puts the mother on all fours to widen the pelvic outlet?

A

Gaskin maneuver

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16
Q

maneuver to relieve shoulder dystocia by fracturing the clavicle of the baby?

A

Cleidotomy

17
Q

Maneuver in relieving dystocia which increases risk for urinary tract injury?

A

Symphisiotomy

symphyseal cartilage is cut

18
Q

maneuver which returns the baby in an occiput position and proceeds to do CS delivery?

A

Zavanelli maneuver