Studied by 12 people
Obstructed labor
Failure to descend through the birth canal and usually occurs at the pelvic outlet, brim, or cavity
More than 8 hours
Prolonged latent phase lasts for how many hours?
More than 12-14 hours
Prolonged active phase lasts for how many hours?
Second stage
Obstructed labor mostly occurs after it enters what stage?
More than 1 hour
Prolonged second stage of labor for multipara lasts for how many hours?
More than 2 hours
Prolonged second stage of labor for multipara lasts for how many hours?
Late decelerations
Aside from monitoring VS, FHR, contractions, and fetal movement, what should also be monitored to identify fetal distress?
110-160 bpm
Normal FHR
Vagal
What reflex/response is stimulated with hypoxia, leading to increased bowel motility and loss of rectal control?
Breech presentation
Meconium staining is common in what fetal presentation?
40-70%
Normal O2 saturation for fetus
9-10cm, +2-3
NSD is possible in cases of fetal distress as long as the mother is dilated at __cm and the baby is stationed at __.
Dilatation and maternal pelvis
What should be checked prior to labor induction in cases of fetal distress?
Primrose oil/cerviprime
What medications are given to soften the cervix?
Relieve pressure on the cord
What is the therapeutic goal for umbilical cord prolapse?
Knee-chest and Trendelenburg
What are the possible positions advised for umbilical cord prolapse?
Every hour
During amnioinfusion, when should the nurse record for temperature?
Polyhydramnios and uterine rupture
What would be the consequences if amnioinfusion isn’t halted when vaginal leakage stops?
LOA
What is the most favorable fetal presentation?
Asynclitism
What term refers to the fetal head presenting at a different angle than expected?
135-degrees
Instead of the normal 90-degree rotation for LOA, at what degree will a fetus presented as LOP rotate?
Hands-and-knees, squatting, and side-lying
What are the best possible positions for a mother with a fetus presented as LOP/ROP?
38 weeks
At approximately what week does a baby go from breech to cephalic presentation?
Delivering the head
What is the most hazardous part of breech birth?
Head entrapment, skull injury, and brain injury
What are the three dangers of forceps delivery?
4000-4500g (9-10lbs)
A fetus is considered macrosomic if their weight is more than __.
Hydrocephalus
It refers to the abnormal expansion of the cerebral ventricles.
Anencephaly
It refers to the absence of cerebral hemispheres.
11cm
What is the normal measurement for ischial tuberosity?
Dorsal recumbent
What position is associated with the McRobert’s maneuver?
34-38 weeks
When can an external cephalic version be performed?
Turtle sign and facial flushing
What are the two most prominent s/sx of shoulder dystocia?
Hypertonic contractions
This type of contraction is painful and often occurs during the latent phase.
Respiratory rate
What should be monitored first before administering Morphine Sulfate for patients with hypertonic contractions?
Hypotonic contractions
This type of contraction is painless and commonly occurs during the active phase.
Note
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