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