Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
9 Cards in this Set
- Front
- Back
|
Breech presentation
|
Frank- cross legged Complete - "completely folded" legs exteded all the way in front of face Footling- one crossed one hanging down |
|
|
Determining fetal position
|
Occiput is felt as diamond Anterior fontinelle is felt as triangle |
|
|
External cephalic version
|
Done at 37w Prior to decrease of fluid Less likelihood of reversing Can deliver instantly if nrfht Consider epidural |
|
|
Cardinal movements of labor
|
Engagement Descent Internal rotation Extension External rotation (restitution) Expulsion |
|
|
Arrest of dilation
|
Used to be more than 2 hrs without change and adequate contractions in active phase Labor slope is essentially the same until 6cm Arrest is now more than 4hrs with adequate cx at 6cm or more or 6hrs with inadequate cx. Or 24hrs on pitocin after arom. Always consider your pts complications and morbidities. (eg htn dm twins) |
|
|
Failed induction
|
|
|
|
FHT categories
|
Cat 1: 2: P: |
|
|
Decel definitions Variable Prolonged Late |
Variable. 15 sec in length, 30 sec from baseline to nadir. Prolonged is greater than 2 min Late. Nadir occurs after peak of cx |
|
|
Physiology of a decel
|
Fetal renin creates tachycardia Utero placental insufficiency leads to compression of placenta and decreased blood flow to baby |
