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32 Cards in this Set
- Front
- Back
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Fetal lie
Fetal presentation |
longitudinal or transverse
breech or vertex |
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Incidence of PROM ?
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10%
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PPROM
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before 37 wks
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ROM Dx:
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pool
nitrazine fern |
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Spontaneous labor
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Bishop 8
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relation of fetal head to ischial spines
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station
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anterior fontanelle
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frontal + parietal bones
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posterior fontanelle
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parietal + occipital bones
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irregular contractions
variable duration variable intensity |
false labor
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requires cervical change
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true labor
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induction methods
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prostoglandins
oxytocic agents cervical dilation artificial rupture |
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failed induction
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Bishop 5 or less
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ripening agents
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prostaglandin E2 (PGE2) - cervidil - dinopristone
misoprostol (PGE1) |
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induction methods / agents
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pitocin (oxytocin)
amniotomy |
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Normal FHR
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110 - 160
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non-reassuring FHRs
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flat
late-decelerations |
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early decelerations
variable decelerations |
normal head / vagal compression
cord compressions |
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MC measurement of uterine contractions
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Montevideo units
(ave variation of uterine pressure x contractions in 10 minutes) |
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reassuring scalp pH
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> 7.25
seems low, doesn't it ? |
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cardinal movements
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engagement
flexion internal rotation (OT to OA) external rotation |
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rate of expected dilation
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1.0 cm/hr nulliparous
1.2 cm/hr multiparous |
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passenger too large
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CPD (cephalopelvic disproportion)
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remedy for non-reassuring FHRs
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O2
reposition mom trendelenberg elevate presenting part |
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Rigen's maneuver
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heel of hand applies pressure to peritoneum
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2 types of epistotomies
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median (midline)
mediolateral |
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signs of placental separation
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cord lengthening
gush of blood uterine fundal rebound |
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rate of C-section
mortality |
23%
.01% (1/10,000) |
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MC indication for C-section
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failure to progress into labor
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Kerr
Kronig - required for VBAC |
low transverse incision
low vertical incision |
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MC risk in TOLAC
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rupture of prior uterine scar
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travels ant to ischial spine at is juncture w/ the sacrospinous ligament
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pudendal nerve
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epidural placement
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L3-L4 - during active phase
(not before) |
