-
IN AN OB POV WHAT IS THE MOST IMPORTANT PART OF THE FETUS
- FETAL SKULL
- - LARGEST PART
- - MOST FREQUENT PRESENTING PART
- - LEAST COMPRESSIBLE PART
-
CRANIAL BONES OF FETUS
- SPHENOID
- ETHMOID
- TEMPORAL
- FRONTAL
- OCCIPITAL
- PARIETAL
-
THIS CALLED THE CHANGING THE SHAPE OF THE FETAL HEAD
MOLDING
-
FONTANEL MEMBRANES
DIFFERENCE OF ANTERIOR FONTANEL FROM POSTERIOR FONTANEL
- - ANTERIOR : LARGER, DIAMOND-SHAPE, CLOSES 12-18 MOS
- - POSTERIOR : SMALLER, TRIANGULAR-SHAPE, CLOSES 2-3 MOS
-
ANTEROPOSTERIOR DIAMETERS :
SUPOCCIPITOBREGMATIC
- NARROWEST AP DIAMETER
- FROM BELOW THE OCCIPUT TO THE ANTERIOR FONTANEL = 9.5 CM
-
ANTEROPOSTERIOR DIAMETERS:
OCCIPITOFRONTAL
FROM OCCIPUT TO MID-FRONTAL LOBE = 12 CM
-
ANTEROPOSTERIOR DIAMETERS:
OCCIPITOMENTAL
- WIDEST AP DIAMETER
- FROM OCCIPUT TO CHIN
-
WHAT CLASSIFIES THE AP DIAMETER PRESENTED AT BIRTH CANAL DEPENDING ON DEGREE OF FLEXION?
ATTITUDE
-
DEFINE VERY GOOD ATTITUDE
- FULL FLEXION (CHIN FLEXED ON CHEST)
- SUBOCCIPITOBREGMATIC DIAMETER
-
DEFINE BAD ATTITUDE
- POOR FLEXION
- OCCIPITOMENTAL DIAMETER
-
WHAT ARE THE PRELIMINARY / PRODROMAL SIGNS OF LABOR
- - LIGHTENING
- - INCREASED ACTIVITY LEVEL
- - LOSS OF WEIGHT
- - BRAXTON HICKS CONTRACTION
- - RIPENING OF CERVIX
- - RUPTURE OF MEMBRANES
- - EFFACEMENT
- - DILATATION
- - UTERINE CHANGES
-
THIS IS THE SETTLING OF THE FETAL HEAD INTO THE PELVIC BRIM
LIGHTENING
-
DIFFERENTIATE LIGHTENING AMONG PRIMIS AND MULTIS
- - PRIMIS 2 WEEKS BEFORE EDC
- - MULTIS ON OR BEFORE LABOR ONSET
-
LIGHTENING RESULTS IN :
- - INCREASE URINARY FREQ
- - RELIEF OF ABDOMINAL TIGHTNESS AND DIAPHRAGMATIC PRESSURE
- - SHOOTING PAINS DOWN LEGS D/T PRESSURE ON SCIATIC NERVE
- - INCREASE VAGINAL DISCHARGE
-
WHAT CAUSES THE 2-3 LBS WEIGHT LOSS OF PREGGY BEFORE LABOR ONSET?
DECREASE IN PROGESTERONE PRODUCTION LEADS TO DECREASE FLUID RETENTION
-
GOODELL'S SIGN (RIPENING CERVIX)
CERVIX IS BUTTER-SOFT
-
THIS IS THE SHORTENING AND THINNING OF THE CERVICAL CANAL
EFFACEMENT
-
THIS IS THE ENLARGEMENT OF THE EXTERNAL CERVICAL OS UPTO 10 CM D/T UTERINE CONTRACTIONS AND PRESSURE OF PRESENTING PART AND BOW
DILATATION
-
WHAT HAPPENS TO THE PHYSIOLOGICAL RETRACTION RING DURING DIFFICULT LABOR OF FETUS LARGER THAN BIRTH CANAL
THRE ROUND LIGAMENTS OF UTERUS ARE TENSE CAUSING ABDOMINAL INDENTATION
-
THIS IS A DANGER SIGN SIGNIFYING IMPEDING RUPTURE OF THE UTERUS
BANDL'S PATHOLOGICAL RETRACTION RING
-
HOW TO COMPUTE THE EDD/EDC
- ADD 280 DAYS TO PREGGY'S LMP
- COUNT BACK 3 MOS FROM DATE THEN ADD 1 YEAR AND 7 DAYS
-
GRAVIDA - # OF PREGNANCIES
PARITY - # OF DELIVERIES (OVER 20 WEEKS VIABLE)
- G - BASTA NABUNTIS WHATEVER THE OUTCOME, COCUNTED
- P - ABORTIONS IS NOT COUNTED SINCE UNDER 20 WEEKS ; TWINS ARE COUNTED AS 1 DELIVERY
-
GTPALM
TERM - 37 WEEKS AND ABOVE (COUNT # CHILD
PRETERM - 36 WEEKS AND BELOW (COUNT # CHILD)
ABORTION - UNDER 20 WEEKS
LIVING - DELIVERED
MULTIPLE PREGNANCIES - DELIEVERED
- TERM AND PRETERM - COUNT THE INFANTS BORN
- MULTIPLE - COUNT DELIVERIES
-
MONITORINIG UTERINE CONTRACTIONS:
DURATION
- BEGIN OF ONE CONTRACTION TO THE END OF SAME CONTRACTION
- (A-B)
-
MONITORINIG UTERINE CONTRACTIONS:
INTERVAL
- FROM END OF ONE CONTRACTION TO BEGINNING OF NEXT CONTRACTION
- (B-C)
-
INTERVAL IN EARLY LABOR
40 - 45 MINUTES
-
INTERVAL IN LATE LABOR
2 - 3 MINUTES
-
MONITORINIG UTERINE CONTRACTIONS:
FREQUENCY
- BEGIN OF ONE CONTRACTION TO BEGINNING OF NEXT CONTRACTION
- (A-C)
- OBSERVE 3-4 CONTRACTIONS FOR FREQ
-
MONITORINIG UTERINE CONTRACTIONS:
INTENSITY
STRENGTH OF CONTRACTION MEASURED BY CONSISTENCY OF FUNDUS AT ACME OF CONTRACTION AND END
-
TRUE LABOR PAINS:
FREQUENCY
IRREGULAR BUT BECOMES REGULAR AND PREDICTABLE
-
TRUE LABOR PAINS:
LOCATION
FIRST AT LOWER BACK THEN SWEEP AT ABDOMEN IN GIRDLE-LIKE MOTION
-
TRUE LABOR PAINS:
PAIN
CONTINUES NO MATTER WHAT ACTIVITY
-
TRUE LABOR PAINS:
CERVICAL CHANGES
CERVICAL EFFACEMENT AND DILATATION
-
EFFACEMENT & DILATATION
STATIONS
RELATIONSHIP OF FETAL PRESENTING PART TO LEVEL OF ISCHIAL SPINE
-
EFFACEMENT & DILATATION:
STATION 0
- AT LEVEL OF ISCHIAL SPINES
- SYNONYMOUS TO ENGAGEMENT
-
EFFACEMENT & DILATATION:
STATION -1
PRESENTING PART ABOVE ISCHIAL SPINE
-
EFFACEMENT & DILATATION:
STATION +1
PRESENTING PART BELOW ISCHIAL SPINE
-
EFFACEMENT & DILATATION:
STATION +3 AND +4
SYNONYMOUS TO CROWNING - ENCIRCLING OF LARGEST DIAMETER OF FETAL HEAD BY VULVAR RING
-
SURE SIGN THAT BABY WILL BE BORN
- BULGING OF PERINEUM
- CERVIX IS FULLY DILATED
- IN MULTIS - CERVICAL DILATATION 7-8 CM
-
TRANSITION PERIOD IN LABOR DELIVERY
- SUDDEN MOOD CHANGE
- SUDDEN GUSH OF AMNIOTIC FLUID
- PROMINENT SHOW
- UNCONTROLLABLE URGE TO PUSH WITH CONTRACTIONS
-
IN PRIMIGRAVIDA, BABY DELIVERED AT
20 CONTRACTIONS - 40 MINUTES
-
IN MULTIGRAVIDA, BABY DELIVERED AT
10 CONTRACTIONS - 20 MINUTES
-
SECOND STAGE OF LABOR:
STAGE OF EXPULSION
BEGINS AT COMPLETE DILATATION OF CERVIX AND ENDS AT BABY DELIVERED
-
MECHANISMS OF LABOR
FETAL POSITION CHANGES
- DESCENT
- FLEXION
- INTERNAL ROTATION
- EXTENSION
- EXTERNAL ROTATION
- EXPULSION
|
|
