Module 5

Obstructed labor

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.