Lacerations And Perineal Anatomy 572

Front 1

What are the three layers of muscle of vaginal and perineal anatomy, and where do they start/go?

Back 1

-Three layers of muscle from outside to inside starting at the perineal body and vaginal introitus and following an imaginary pathway paralleling the posterior and lateral walls of the vagina.
*Bulbocavernosus
*Deep transverse perineal
*Pubococcygeus of the levator ani

Front 2

Label these anatomical points of the muscles of the pelvis

Back 2

Front 3

Label these anatomical points of the pelvic floor

Back 3

Front 4

Label these anatomical points of the pelvis floor muscles

Front 5

Label these anatomical points of the pelvic floor muscles

Back 5

Front 6

Define what is involved with a first degree laceration

Back 6

First degree – fourchette, perineal skin and vaginal mucous membrane

Front 7

Define what is involved with a second degree laceration

Back 7

Second degree – includes fascia and muscles of perineal body

Front 8

Define what is involved with a third degree laceration

Back 8

Third degree – includes the anal sphincter

Front 9

Define what is involved with a fourth degree laceration

Back 9

Fourth degree – extends through the rectal mucosa

Front 10

Define what is involved with a sulcus laceration

Back 10

Sulcus – type of 2nd degree in which the vaginal mucosa and underlying tissue lacerate along one or both sides of the posterior column of the vagina instead of up the middle.

Front 11

Define what is involved with a periurethral laceration

Back 11

Periurethral – occur near the urethra.

Front 12

State when a cervical laceration should be repaired

Back 12

Cervical - > 1 cm should be repaired.

Front 13

What is the postpartum care for lacerations?

Back 13

-Adequate analgesics: ibuprofen
*Pain should be promptly
evaluated, often sign of
infection
-Sitz baths
-3rd and 4th degree – rx stool softners

Front 14

Back 14

Front 15

Back 15

Front 16

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Front 17

Back 17