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MATERNAL LEC > QUIZ 2 - PREGNANCY COMPLICATIONS > Flashcards

QUIZ 2 - PREGNANCY COMPLICATIONS Flashcards

1
Q

a difficult labor

A

dystocia

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2
Q

three components of labor (3P)

A

power, passenger, passageway

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3
Q

2 types of dysfunctional labor

A

primary and secondary

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4
Q

women with prolonged labor are at risk of…

A

maternal postpartal infection, hemorrhage and fetal death

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5
Q

contractions are low or infrequent

A

hypotonic

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6
Q

normal dilatation per hour

A

1cm per hour

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7
Q

may occur after administration of analgesia

A

hypotonic contractions

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8
Q

causes of overstretched uterus

A

multiple gestation, large fetus, hydramnios and grand multiparity

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9
Q

managament for hypotonic contractions

A

oxytocin infusion, amniotomy, palpate uterus and assess lochial discharge

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10
Q

increased resting tone to more than 15mmHg, myometrium does not relax after contraction

A

hypertonic contractions

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11
Q

occur due to more than one pacemaker, may cause fetal anoxia

A

hypertonic

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12
Q

management for hypertonic contractions

A

pain relief, rest and fetal monitoring

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13
Q

strong contractions, labor fewer than 3 hours

A

precipitate labor

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14
Q

precipitate labor can lead to..

A

premature separation of placenta (hemorrhage)

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15
Q

precipitate labor can cause…

A

subdural hematoma to fetus and lacerations to mother

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16
Q

precipitate labor is common to…

A

grand multiparas, induced labor, amniotomy

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17
Q

precipitate labor management

A

tocolytic agent

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18
Q

uterus undergoes more strain

A

uterine rupture

19
Q

uterine rupture is common for women with…

A

vertical CS and hysterectomy

20
Q

contributing factors to uterine rupture

A

abnormal presentation, multiple gestation, forceps and traction, prolonged labor, unwise use of oxytocin

21
Q

uterine rupture management

A

emergency fluid replacement, IV oxytocin, CS hysterectomy and tubal ligation

22
Q

uterus turning inside out

A

inversion of uterus

23
Q

inversion of uterus management

A

IV fluid line, O2 by mask, VS assessment and CPR

24
Q

amniotic fluid forced into open maternal uterine blood sinus

A

amniotic fluid embolism

25
Q

women with amniotic fluid embolism can feel…

A

sharp pain on chest and inability to breath

26
Q

embolism management

A

O2 by mask or cannula, fibrinogen therapy and ICU

27
Q

umbilical cord slips down

A

prolapsed umbilical cord

28
Q

prolpased umbilical cord can lead to..

A

compression of cord and fetal anoxia

29
Q

prolapsed umbilical cord management

A

O2 by facemask, tocolytic agent and cover exposed cord with sterile moist cloth or sterile saline compress

30
Q

risk factors of PUC

A

PROM, non cephalic presentation, placenta previa, intrauterine tumors, small fetus, CPD, hydramnios, multiple gestation

31
Q

position if PUC

A

knee chest position or hips elevated using two pillows with Trendelenburg position

32
Q

how to determine position of second fetus in multiple gestation

A

external abdominal palpation and sonography

33
Q

fetus weighing 4k to 5k grams

A

macrosomia

34
Q

macrosomia is common with women who..

A

have diabetes or developed gestational diabetes

35
Q

fetal head is born but shoulders are too broad

A

shoulder dystocia

36
Q

shoulder dystocia can cause..

A

fractured clavicle and brachial plexus injury for fetus

37
Q

indications for forceps birth

A

woman unable to push w contractions, cessation of descent, abnormally positioned fetus, fetal distress

38
Q

forceps birth guidelines

A

ruptured membranes, CPD not present,cervix fully dilated, empty bladder

39
Q

abdominal incision into the uterus

A

CS

40
Q

2 types of CS

A

low segment cs and classical cs

41
Q

indications for cs

A

severe toxemia, cpd, previous classic cs

42
Q

advantages of lscs

A

minimal blood loss, incision is easier to repair, low incidence of postpartum infection, no possibility of uterine rupture

43
Q

reasons for emergent cesarean birth

A

abruptio placentae, placenta previa, unable to progress in labor and fetal distress

MATERNAL LEC (2 decks)

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