Problems with Fetal Position, Presentation, or Size Flashcards

1
Q

During internal rotation, the fetal head must rotate not through a 90-degree arc but through an arc of approximately 135-degrees

A

Occipitoposterior position

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2
Q

Positions for patients that can aid from a posterior position

A
  1. Hands-and-Knees position
  2. Squatting
  3. Lying on their side
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3
Q

If mother lying on her left side, the fetal position is

A

ROP (Right Occiput Posterior)

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4
Q

If mother lying on her right side, the fetal position is

A

LOP (Left Occiput Posterior)

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5
Q

Rationale of patients choosing epidurals for their deliveries and peanut ball placed between the legs

A
  1. Open the pelvis
  2. Reduce total labor time
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6
Q

Posterior positions tend to occur in birthing parents with

A
  1. Andriod pelvis
  2. Anthropoid pelvis
  3. Contracted pelvis
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7
Q

Posterior positions tend to occur in birthing parents with: Android pelvis, Anthropoid pelvis, and/or Contracted pelvis. These positioning is suggested by a

A

Dysfunctional labor

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8
Q

Having a posteriorly presenting fetal head can be confirmed by what diagnostic tests?

A
  1. Vaginal examinations
  2. Ultrasound
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9
Q

A posteriorly presenting fetal head does not fit the cervix as snugly as one in an anterior position - this increases the risk of having _____________

A

Risk of umbilical cord prolapse

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10
Q

Because the fetal head rotates against the sacrum, a birthing parent may experience pain and pressure at what area of the back?

A

May experience pressure and pain in their lower back

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11
Q

Because the fetal head rotates against the sacrum, a birthing parent may experience pain and pressure in their lower back because ______________

A

Sacral nerve compression

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12
Q

Management for having pressure and pain in the lower back during an Occipitoposterior Position

A
  1. Applying counterpressure on the sacrum by a back rub
  2. Rebozo method
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13
Q

What method that is being used for the management for pressure and lower back pain where jiggling massaging the uterus may be helpful when assisting the fetus to rotate into a better position

A

Rebozo method

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14
Q

It is a more hazardous fetal presentation

A

Breech position

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15
Q

It occurs because of cervical pressure on the buttocks and rectum

A

Meconium staining

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16
Q

__________ can lead to meconium aspiration if the infant inhales AF

A

Meconium excretion

17
Q

Assessment of Breech position

Where can you usually hear the FHR?

A

High in the abdomen

18
Q

Diagnostic procedures to detect Breech positioning

A
  1. Vaginal examination
  2. Leopold’s Maneuver
19
Q

If the breech position is unclear, what diagnostic test should be done?

A

Ultrasound

20
Q

Management of Breech position

A

Always monitor FHR and uterine contractions

21
Q

When monitoring the FHR and uterine contractions as management for Breech position, what conditions that can be detected early?

A
  1. Cord prolapse
  2. Arrest of descent
22
Q

True or False: birthing of the head during a breech position is the most hazardous part

23
Q

What is the considered second danger of having a breech presentation?

A

Intracranial hemorrhage

24
Q

Causes of Breech position

A
  1. Gestational age less than 37 weeks
  2. Abnormality of the fetus
  3. Polyhydramnios
  4. Congenital anomalies of the uterus
  5. Any space-occupying mass in the pelvis
  6. Pendulous abdomen
  7. Multiple gestation
  8. Pelvic diameters
  9. Fetal skull diameters
  10. Evidence of possible placenta previa
25
A fetal head presenting at a different angle than expected is termed ____________
Asynclitism
26
________ is rare but when it does, the head diameter of the fetus presents to the pelvis is often too large for birth to proceed
Face (chin or mentum)
27
Face presentation can be confirmed by ______
Vaginal examination Ultrasound
28
Face presentation If the chin is anterior and the pelvic diameters are within normal limits, it may be possible for the infant to ___________
To be born without any difficulty or NSD
29
Face presentation If the chin is posterior
CS is the method of choice
30
Babies born after a face presentation have a great deal of ___________ and may be purple from ecchymotic bruising
Facial edema
31
One of the rarest fetal presentations
Brow presentation
32
Brow presentation occurs in patients with
1. Multiparity 2. Relaxed abdomen muscles