Problems with
Labor
Labor
Interventions
Obstetrical
Emergencies
Operative
Delivery
Obstetric
Complications
100

What is the term used for a very fast birth?

What is

Precipitous labor or precipitous delivery

100

This is the digital separation of the chorionic membrane from the wall of the cervix & lower uterine segment during a vaginal exam.

What is

Stripping of membranes

100

What is it when the head is born, but the anterior shoulder cannot pass under the pubic arch? 

What is

Shoulder dystocia

100

What does VBAC stand for?

What is

Vaginal Birth after Cesarean

100

This is a pale green, watery fluid that is observed when the amniotic membranes are ruptured. 

What is

Meconium-stained amniotic fluid

200

What term used when the pressure of the uterine contraction is insufficient to promote cervical dilation and effacement?

What is

Hypotonic uterine dysfunction

200

A procedure where the provider artificially ruptures the membranes.

What is an


Amniotomy

200

Name 4 types of obstetrical emergencies that require immediate delivery of the fetus.

What are

Shoulder dystocia, Umbilical cord prolapse, Uterine rupture, and Amniotic fluid embolism

200

What are the advantages of performing a vacuum-assisted delivery over a forceps assisted delivery?

What are

Easier application, Less anesthesia required, Less maternal soft tissue damage, Fewer fetal injuries

200

The term used for post-term fetuses that have a greater chance of developing complications related to larger body size (> 4,500 g or 10 lbs).

What is

Macrosomia

300

This maneuver involves sharply flexing the thigh into the maternal abdomen to straighten the sacrum in order to release the impacted fetal shoulders.

What is

McRoberts manuver

300

What is the primary nursing intervention performed immediately after a provider breaks the mother's bag of water?

What is

Check the fetal heart rate

300

A position the mother is placed in if an umbilical cord prolapse is present.

What is

Trendelenburg or Knee-chest

300

Which type of previous C-section incision is contraindicated for a VBAC?

What is

Vertical (Classical) or T-shaped uterine incision

300

An associated risk to the mother with a stillbirth may lead to the development of ________ putting her at a higher risk for infection that could lead to sepsis or endometritis.

What is

DIC (Disseminated Intravascular Coagulation)


400

What are two possible risk factors that can lead to the second-stage arrest of labor?

What are

Maternal exhaustion & Epidural anesthesia

400

What is a medication used to ripen the cervix for labor induction?

What is

Misoprostol (Cytotec) or Cervidil

400

What is a symptomatic disruption and separation of the layers of the uterus or previous uterine scar?

What is

Uterine rupture

400

What fetal position makes vaginal delivery impossible?

What is

Transverse lie or shoulder presentation 

400

What complications are multiple gestation pregnancies at a higher risk for, during the intrapartum period? 

What are

Preterm birth, preeclampsia, & hemorrhage.

500

What is Cephalopelvic Disproportion (CPD)?

What is

The disproportion between the size of the fetus and the size of the mother's pelvis

500

What are the 5 categories of the Bishop score that assess for cervical readiness?

What are

Cervical dilatation, Effacement %, Consistency of cervix, Position of cervix, Station

500

This can cause a sudden, acute onset of hypoxia, hypotension, cardiovascular collapse, and coagulopathy.

What is

Amniotic Fluid Embolism

500

An elective procedure performed in nonlaboring women at 36 or 37 weeks of gestation that rotates the fetus from the breech to the cephalic presentation.

What is

ECV (External Cephalic Version

500

A foul-smelling bacterial infection where the prolonged rupture of membranes is one of the possible causes.

What is

Chorioamnionitis (Intraamniotic Infection)