Post Term Babies
Placental Complications
Intrapartum Emergencies
High Acuity, Low Frequency Events
Grab Bag :)
200

This classification refers to births from 34 weeks to 36 weeks and 6 days of gestation.

What is late preterm?

200

This delivery method is typically required in cases of complete placenta previa.

What is a c-section?

200

This condition is suspected when a loop of umbilical cord is visible or palpable at the vaginal opening. 

What is cord prolapse?

200

The time given to do each maneuver during a shoulder dystocia. 

What is 30 secs?

200

This condition occurs when the uterus turns inside out with the fundus protrudes through the cervix and vagina. 

What is uterine inversion? 

400

In post-term pregnancies, this fetal complication is more likely due to increased birth weight and can lead to shoulder dystocia during delivery. 

What is macrosomia? 

400

Maternal risk factors such as chronic hypertension, trauma to the abdomen (falls, MVAs), and substance abuse (cocaine) can increase the risk of this condition.  

What is placental abruption?

400

To relieve pressure off the cord, a gloved hand is used to elevate the presenting part of the fetus in this direction. 

What is upward? 

400

This maneuver involves the mother hyperflexing her legs tightly to her abdomen to widen the pelvic outlet. It is used during what complication?

What is McRoberts maneuver, shoulder dystocia?

400

This medication is given to relax the uterine smooth muscle and works relatively quickly when given IV. 

What is Nitroglycerin?

600

This is a serious neonatal complication that increases in post-term pregnancies when meconium-stained fluid is present. 

What is a meconium aspiration syndrome? 

600

Abruption can lead to this serious complication, characterized by widespread clotting and bleeding.

What is DIC (Disseminated Intravascular Coagulation)?

600

When a baby's presenting part is no longer palpable during a cervical exam, and previously it was notable. 

What is loss of station? 

600

The clinical sign characterized by the retraction of the fetal head toward the perineum following the delivery of the fetal head. 

What is turtle sign? 

600

In this type of placental abruption, bleeding is concealed because blood is trapped between the placenta and uterine wall. It can cause uterine tenderness and a rigid abdomen without visible vaginal bleeding. 

What is cental placental abruption? 

800

Small, round calcium deposits that build up may indicate aging of the placenta and increase with gestational age. 

What is placenta calcifications? 

800

A serious complication where unprotected fetal blood vessels near the cervix can rupture, usually when the water breaks. The baby experiences rapid and severe blood loss, potentially leading to death.

What is Vasa Previa? 

800

Maternal risk factors such as TOLAC, prior uterine surgery (myomectomy), polyhydramnios, and multiple gestation (twins) can increase the risk of this condition. 

What is uterine rupture?

800

During an AFE, if the mother has not delivered yet, this maneuver will help prevent aortal-caval compression and improve blood flow to the mother. 

What is left uterine displacement?

800

This condition involves the placenta completely covering the cervical os, often presenting with painless third-trimester bleeding and requiring cesarean delivery for safe birth. 

What is total placenta previa?

1000

This term describes a decrease in amniotic fluid volume, commonly seen in post-term pregnancies, and can increase the risk of cord compression and fetal distress.

What is oligohydramnios? 

1000

This condition is considered when there's placental invasion into surrounding organs, most commonly the bladder.

What is placenta percreta?

1000

During a uterine rupture, it is likely that the fetal tracing can show the following three signs of fetal distress.

What is bradycardia, prolonged decels, and recurrent variable decels?

1000

An abnormal maternal response to fetal tissue, also known as Amniotic Fluid Embolism. This condition is believed to be an anaphylactic reaction triggered by the entry of amniotic fluid or fetal cells into maternal circulation causing cardiopulmonary collapse. 

What is Anaphylactoid syndrome of pregnancy (ASP)?

1000

In this abnormal cord insertion, fetal vessels run unprotected through the membranes before reaching the placenta, increasing the risk of vasa previa and fetal hemorrhage. 

What is velamentous cord insertion? 

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