RNC OB Part 4: Obstetric Complications Questions and Answers 100% Pass

RNC OB Part 4: Obstetric Complications Questions and Answers 100% Pass During a shoulder dystocia, the woman is placed in knee-chest position while supine in order to flatten the sacrum and widening the angle of the maternal pelvis, procedure called _______________ maneuver. This is often followed by suprapubic pressure McRoberts Woods, Schwartz-Dixon, and Gaskin maneuvers are all techniques to relieve a _______________ _______________ Shoulder Dystocia _______________ maneuver for a shoulder dystocia is cephalic replacement back into the vagina in order to perform a cesarean birth Zavanelli _______________ disorders are those in which dilation or descent take longer than normal. Dilation takes longer than 1.2 cm/hr in the nullipara and less than 1.5 cm/hr in the multipara. Descent occurs less than 1 cm/hr in nullipara or 2 cm/hr in multipara Protraction _______________ disorders are those in which dilation or descent stop progressing. This is diagnosed after 2 hours without dilation in the nullipara and 1 hour in the multipara or 1 hour without descent in nulipara or multipara Arrest The pelvic inlet should measure _______________cm or more at its shortest anteriorposterior diameter. A smaller pelvic inlet is contracted 10 The pelvic inlet should measure _______________cm or more at its greatest transverse diameter A smaller pelvic inlet is contracted 12 The normal diagonal conjugate is _______________ cm or more A smaller pelvic inlet is contracted 11.5 Interischial spinous diameter should be over ____________cm 10 ____________ contraction can be inferred when spines are prominent, the sacrosciatic notch is narrow or the pelvic side walls coverage Midpelvis The interischial tuberous diameter should be over ____________ cm. Any less is a pelvic outlet contraction 8 A labor ____________ can involve abnormal power, abnormal passenger, or abnormal passageway Dystocia A precipitous labor takes less than ____________ hours from start to birth of the baby 3 A ____________ placenta previa is one in which the edge of the placenta is within 2-3 cm of the cervical os Marginal The placenta must be farther than ____________cm from the cervical os for a normal delivery and no increased risk for intrapartum hemorrhage 2-3 Symptoms of placenta previa often occur in the second or ____________ trimester when uterine bleeding occurs Third Risk factors for ____________ ____________ Age over 35 Scaring of uterus Uterine fibroids Endometritis Uterine anomalies Cigarette smoking Multiparity Multiple gestations Large placenta Fetal hyhdrops