Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Jaspie - OB-Gyn > Parturition, Normal Labor and Delivery > Flashcards

Parturition, Normal Labor and Delivery Flashcards

1
Q

Phase of parturition - From implantation to few weeks before delivery

A

Prelude to parturition - phase 1 (Quiesence)

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

Phase of parturition - Last 6-8 weeks of pregnancy (or 30-32 weeks AOG)

A

Preparation for labor/ Phase 2/ Activation

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

Phase of parturition - Process of Labor

A

Phase 3/ Stimulation

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

Hormone that serves as principal mediator in Phase 1 of parturition

A

Estrogen

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

At what phase of parturition are Braxton-Hicks felt

A

Phase 1/ Quiesence

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

At what phase of parturition is there formation of the lower uterine segment?

A

Phase 2/ Preparation for Labor/ Activation

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

At what phase of parturition does lightening happen?

A

Phase 2/ Activation/ Preparation for labor

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

At what phase of parturition is there formation is a physiologic uterine ring?

A

Phase 3/ Process of labor/ Stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What initiates phase 3 of parturition/ stimulation?

A

Onset of labor/ regular contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What initiates phase 4 of parturition/ Involution?

A

Delivery of conceptus

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

When does phase 3 of parturition/ process of labor end?

A

Upon delivery of conceptus

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

Longitudinal axis of fetus to that of mother

A

Fetal lie (longitudinal or transverse)

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

MC fetal lie

A

Longitudinal

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

Most important force in fetal expulsion

A

Maternal intra-abdominal pressure

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

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

A

Fetal presentation

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

Most common fetal presentation

A

Cephalic (98%)

Breech (2.7%)

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

Fetal presentation if occipital fontanel is the presenting part?

A

Vertex

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

Fetal presentation if anterior fontanel is the presenting part?

A

Sinciput

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

Fetal presentation if the bregma is the presenting part?

A

Sinciput (same with anterior fontanel)

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

Fetal presentation with neck partially extended

A

Brow presentation

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

Sinciput presentation almost always converts to what presentation?

A

Vertex presentation by neck flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Brow presentation almost always concerts to what presentation?

A

Face presentation by neck extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Fetal presentation with occipital fontanel as presenting part?

A

Occiput / Vertex presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which fetal presentations are usually transient?

A

Sinciput and brow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

3 Fetal presentations of breech?

A

Frank, complete, footling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Characteristic posture of fetus

A

Fetal attitude

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

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

A

Fetal position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

MC fetal position

A

Left occiput anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Possible fetal positions if with vertex presentation

A

Left occiput anterior
Left occiput transverse
Left occiput posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Possible fetal positions if with face presentation

A

Left mentum anterior
Left mentum transverse
Left mentum posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Possible fetal positions if with breech presentation

A

Left sacrum anterior
Left sacrum transverse
Left sacrum posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Presenting part if vertex presentation?

A

Occiput

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Presenting part if face presentation?

A

Mentum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Presenting part if breech presentation?

A

Sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Degree of descent of the presenting part throughout the birth canal

36
Q

At what level is the fetal station assessed?

A

Level of the ischial spine

37
Q

Lateral deflection of the head to a more anterior or posterior position in the pelvis

A

Asynclitism

38
Q

Sagittal suture approaches sacral promontory; anterior parietal bone presents

A

Anterior synclitism/ Naegele’s obliquely

39
Q

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

A

Posterior asynclitism/ Litzman obliquity

40
Q

Litzman obliquity

A

Aka posterior asynclitism

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

41
Q

Naegele’s obliquity

A

Aka anterior asynclitism

Sagittal suture approaches sacral promontory; anterior parietal bone presents

42
Q

Maneuver to determine fetal pole

43
Q

Leopold I

A

Determines fetal pole

44
Q

Leopold II

A

Determines where the fetal back is

45
Q

Leopold III

A

What fetal part lies over the pelvic inlet

46
Q

Leopold IV

A

On which side is the cephalic prominence

47
Q

At which Leopold maneuver does the examiner move to the mother’s feet?

A

Leopold IV

48
Q

Pawlick’s grip

A

Aka Leopold III

Determines engagement of presenting part

49
Q

Fundal grip

A

Aka Leopold I

Determines fetal part lying in the fundus

50
Q

Leopold maneuver which determines the degree of flexion of fetal head/ neck?

A

Leopold IV

51
Q

Leopold maneuver to determine habitus?

A

Leopold IV

52
Q

Cephalic or podalic?

A

Presentation

From Leopold I

53
Q

To determine engagement of presenting part

A

Leopold III/ Pawlick’s grip

54
Q

Period of forceful uterine contractions that cause cervical dilatation, fetal descent and delivery of the conceptus

55
Q

3 tests used to confirm rupture of membranes

A

Pool test
Nitrazine test
Fern test

56
Q

Amniotic fluid - acidic or alkaline?

57
Q

Normal vaginal pH?

58
Q

Positive nitrazine test?

A

If paper turns blue = positive = pH 7.5 (amniotic fluid is alkaline)

Positive = rupture of membranes

59
Q

If negative nitrazine test?

A

Paper turns yellow = pH 5

60
Q

Results of fern test

A

Amniotic fluid causes crystallization under microscope when it dries up

61
Q

Bishop score that indicates high probability of spontaneous vaginal delivery

62
Q

Ring of Bandl

A

Aka pathologic retraction ring

Extreme thinning of LUS in obstructed labor

63
Q

First prerequisite for birth

64
Q

BPD passes through the pelvic inlet

A

Engagement

65
Q

Cardinal movement that allows the narrowest fetal head diameter to present in the birth canal

66
Q

What happens during internal rotation?

A

Rotation of fetal head from transverse to AP

67
Q

Another name for restitution

A

External rotation

68
Q

Anesthesia that can be used for both 1st and 2nd stages of labor

69
Q

Functional division of first stage of labor that’s unaffected by sedation or conduction analgesia

A

Dilatational division

70
Q

BPD descent in relation to the ischial spine

71
Q

Landmark in assessing fetal station

A

Ischial spine

72
Q

Ritgen maneuver

A

Hand used to exert forward pressure on the chin of the fetus through the perineum just in front of the coccyx and the other hand exerts pressure posteriorly against the occiput

73
Q

Encircling of the largest diameter of the fetal head by the vulvar ring

74
Q

Calkin sign

A

Uterus becomes global and firm - 3rd stage of labor

75
Q

Placental separation where glistening amnion first presents at vulva

76
Q

Placental separation that occurs first at the periphery

A

Duncan

“Duncan’s dirty mother at the periphery “

77
Q

3rd degree laceration

A

Involves anal sphincter

78
Q

Fourth degree laceration

A

Until rectal mucosa

79
Q

First degree laceration

A

Fourchette, perineal skin, vaginal mucous membrane

80
Q

Second degree laceration

A

Fascia and perineal muscles

81
Q

4th stage of labor begins?

A

Hour immediately after deliver

Monitor for at least 1 hour (q15)

82
Q

Bishop score favorable for labor induction

83
Q

Oxytocin dose

A

10-20 units into 1000 ml of LRS

84
Q

Early amniotomy at what cervical dilatation?

85
Q

Late amniotomy at what cervical dilatation?

86
Q

Misoprostol - what type of drug?

A

PGE1 analog

Used for cervical ripening and induction

87
Q

Principal hormone in the quiescence phase of parturition

A

Progesterone

Jaspie - OB-Gyn (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions