Definitions
Labor Physiology
Postpartum Hemorrhage
Interventions to Support Normal Labor Progress
Medical Student Questions
100
Definition of labor
What is regular contractions leading to cervical change?
100
What organ acts as the liver for the baby.
What is the placenta.
100
Misoprostol dose
What is 800 to 1,000 mcg?
100
Effect of ambulation on labor on labor length
Shorter first stage, less epidural use
100
The stage after the baby is born and the placenta separates.
What is the Third Stage of Labor
200
Adequate contractions (frequency)
What are 3-5 contractions in 10 minutes?
200
Traditional definitions of women who have survived normal Stage II of labor
Nulliparous Multiparous
200
Difference between hemabate and methergine dosing?
What are 250 mcg and 200 mcg?
200
Effects of doula on labor?
What are reduced anesthesia, oxytocin use, and decreased operative vaginal and cesarean delivery rates
200
Contraindications for methergine and hemabate
What are HTN (meTHergiNe) and Asthma (hemAbate)
300
Dilation at which active labor is thought to begin
What is 4 to 6cm?
300
The halflife of oxytocin
What is 3-4 minutes?
300
Frequency (max) of hemabate dosing
What is Q15 minutes, max 2 mg (8 doses)?
300
Effect of amniotomy on labor
Which procedure can speed up labor in multiparous women?
300
The Three Signs of Placental Separation
What are: 1. Lengthening of the Cord 2. Gush of Blood 3. Firm Globular Uterus rising to the anterior portion of the abdomen
400
Recommendations for Cesarean Delivery in Stage II
Multiparous patient: - 2h without descent/rotation (unmedicated) - 3h without descent/rotation (medicated) Nulliparous patient; - 3h without descent/rotation (unmedicated) - 4h without descent/rotation (medicated)
400
Two functions of oxytocin
What are to stimulate myometrial contractions and to stimulate the amnion/decidua to produce prostaglandins?
400
Max frequency & dose of methergine
What are Q 2-4 hours, max 5 doses?
400
Laboring Down
What is the concept that includes waiting for descent in second stage before pushing?
400
A complication when the uterus exits the vaginal canal after delivery.
What is Uterine inversion?
500
Indication for calling a stage I arrest
What are 6+cm cervical dilation for 6 hours with no cervical change OR 4 hours adequate contractions
500
Ratio of normal weight of placenta to fetus
What is 1:6?
500
Definition of Post partum hemorrhage for vaginal delivery, cesarean delivery.
What are 500 mL and 1000 mL?
500
Indication for calling a stage I arrest
What are 6+cm cervical dilation + 6 hours with no cervical change OR 4 hours adequate contractions
500
Cardinal movements of labor
Engagement, Descent, Flexion, Internal Rotation, Extension, External rotation, Expulsion
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