Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > Week 2 Operative Birth > Flashcards

Week 2 Operative Birth Flashcards

1
Q

What is operative vaginal birth?

A

Application of traction to or assist descent of or rotation of the fetal head during birth to aid in the woman’s expulsive efforts

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

What is the function of the vacuum extractor?

A

uses Suction to grasp the fetal head while traction is applied

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

What are the contraindications for vacuum extraction?

A
  • Breech, face, or brow presentation
  • CPD
  • Unengaged fetal head
  • Incompletely dilated cervix
  • Bleeding disorder
  • < 34 wgs (risk head/intracranial trauma)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How many popoffs until vacuum extraction is no longer indicated?

A

3

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

If you reach your popoff limit delivery using ___ is also contraindicated

A

Forceps

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

What are the maternal indications for operative vaginal birth

A
  • Exhaustion
  • Inability to push effectively
  • Infection
  • Cardiac or pulmonary disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the fetal indications for operative vaginal birth

A
  • Failure of the fetal presenting part to fully rotate and descend in the pelvis
  • Partial separation of the placenta
  • Abnormal FHR patterns near the time of birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When is operative vaginal birth considered?

A

Considered if the second stage should be shortened for well-being of mother and/or baby AND if vaginal birth can be accomplished without undue trauma

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

What are the maternal risks of operative vaginal birth

A
  • Laceration
  • Hematoma of vagina,
  • pelvic floor disorders,
  • anal sphincter disruption
  • infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the Fetal risks of operative vaginal birth

A
  • Ecchymoses
  • Facial and scalp lac and abrasions
  • Facial nerve injury
  • Cephalohematoma
  • Intracranial hemorrhage: Subgaleal hemorrhage most often associated with vacuum extraction and forceps delivery d/t inappropriate placement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a very important additional newborn assessment to be done after operative vaginal birth?

A

Neuromuscular

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

How do you tell the difference between a Caput Succadaneum and a cephalhematoma?

A

The caput crosses sutures the Cephalhematoma does not

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

What monitoring do you do after operative vaginal birth

A
  • Monitor for 8 hours min
  • Close VS monitoring for signs of hypovoilumemic shock
  • Hourly HC
  • Presence of fluctuance
  • Monitor H/H and coag q 4-8
  • Seizures
  • CT or MRI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the three classifications of operative vaginal birth?

A
  • Outlet
  • Low
  • Mid-pelvis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is an outlet operative vaginal birth?

A

the fetal head is at or on the perineum with the scalp visible at the vaginal opening without separating the labia. The position is either ROA or LOA or ROP/LOP

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

What is a low operative vaginal birth?

A

the leading edge of the fetal skull is at station +2 cm or lower and NOT on the pelvic floor. Subdivided according to the amount of rotation of the fetal head needed. Rotation of 45 degrees or less are simpler

17
Q

What is a mid-pelvis operative vaginal birth?

A

Mid-pelvis: leading edge of the fetal skull is between 0 and +2 cm

18
Q

During a operative vaginal birth, a _____ may be performed to allow easier passage

A

Episiotomy

19
Q

If forcep or vacuum extraction is anticipated ____ should be added to the instrument table

A

Urinary catheter

20
Q

Why is a urinary catheter needed at a forcep or vacuum extraction

A

To allow bladder to be emptied

21
Q

During vacuum extraction, a FHR lower than ___ must be reported

A

100 bpm

22
Q

after a forcep or vacuum extraction delivery, you should immediately assess for ___

A

trauma

23
Q

If after a forcep or vacuum extraction the mother has a laceration or hematoma, ____is applied for 12 hours

A

ice

24
Q

After a forcep or vacuum extraction delivery, the newborn should be assessed for ___

A

skin breakdown, bruising, facial asymmetry for facial nerve injury), caput or cephalohematoma common at vacuum extractor cup location

25
Q

What are the risks to the baby in a c-section?

A
  • Inadvertent preterm birth
  • TTN
  • Persistent pulmonary htn
  • Injury (lac, bruising, fx, or other trauma)
26
Q

What are the two types of cutaneous incisions used in a C-section?

A

Vertical and Pfannenstiel

27
Q

What are the three uterine incisions used in a c-section?

A
  • Low transverse
  • Low vertical
  • Classic
28
Q

What are the advantages to a vertical cutaneous C-section incision?

A
  • Quick
  • Better visualization
  • Can be extended faster
  • Better for obese women
29
Q

What are the advantages to a Pfannenstiel cutaneous C-section incision?

A
  • Less visible

- Less chance of dehiscence or hernia

30
Q

What are the disadvantages to a vertical cutaneous C-section incision?

A
  • Very visable

- Greater chance of dehiscence or hernia

31
Q

What are the disadvantages to a Pfannenstiel cutaneous C-section incision?

A
  • Less visualization of uterus
  • Not quick
  • Cant be easily extended
  • Reentry takes longer
32
Q

what are the advantages of a low transverse uterine incision for a c-section?

A
  • unlikely to rupture
  • VBAC possible
  • Less blood loss
  • Easy to repair
  • less adhesions
33
Q

what are the advantages of a low vertical uterine incision for a c-section?

A

-can be extended

34
Q

what are the advantages of a classic uterine incision for a c-section?

A
  • Used in emergencys
  • used if dense adhesions are present
  • used if infant is transverse lie with impacted shoulder
35
Q

what are the disadvantages of a low transverse uterine incision for a c-section?

A

-limited ability to extend

36
Q

what are the disadvantages of a low vertical uterine incision for a c-section?

A
  • More likely to rupture

- If it tears it may extend to cervix

37
Q

what are the disadvantages of a classic uterine incision for a c-section?

A
  • Most likely to rupture with subsequent preg.

- Eliminates VBAC

38
Q

What is TOLAC?

A

trial of labor after cesarean delivery

39
Q

What is TTN?

A

Transient Tachypnea of Newborn

OB (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions