CNUR303 COMPLICATED MIDTERM| QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED|
LATEST UPDATE GUARANTEED PASS
fetal fibronectin glycoprotein found in extracellular matric of amniotic membrane
- normally found in cervico-vaginal secretions until 22 weeks & again around 35 weeks
- release into fluid as a response to inflammation or separation of amniotic membranes
- In between 22 & 35 = if seen in between, it can be indicative of imminent labour
Labour dystocia > than 4 hours of active labor with less than 0.5 cm of dilation/hour
- "failure to progress"
- > 1 hour of active pushing with no descent of presenting part
protraction disorder - delayed cervical dilation
- slowed descent of head
arrest disorders - active phase
- secondary arrest of cervical dilation
- arrest of the descent of the fetal head
- failrue of the descent of the fetal head
- dilation isnt changing
Labour dystocia risk factors - overweight
- short stature
- AMA
,- infertility difficulties
- prior EVC
- uterine abnormalities
- malpresentation
- CPD
- maternal fatigue
- inappropriate use/timing of analgesic
precipitous labor <3 hours
- perineal tissue
- rapid fetal descent
- baby stunned when it comes out
- tear = not giving tissues time to adjust
external cephalic version Turning a breech baby to cephalic presentation through the
maternal abdominal wall
- ideal to do after 36 weeks gestation
occiputposterior positioning interventions - check the position of the baby (feel the
fontanels)
- position change (peanut balls, encourage baby to rotate into an OA position)
- counter pressure
Shoulder dystocia impaction of the anterior shoulder above the symphysis pubis
- vertex position
Anterior shoulders closest to the mom's pubic bone gets caught behind the symphysis pubis
, Need baby to be delivered on a short timeline
Baby's cord + pH is decreasing + ongoing contractions + separation of the placenta
shoulder dystocia complications - fetal/neonatal death
- hypoxia/asphyxia
- birth injuries
- fractures (clavicle)
- brachial plexus palsy - nerve branch that runs through the clavicular area; decreased motion
on one arm
- PPH
- uterine rupture
shoulder dystocia sign turtle sign
shoulder dystocia management ALARMER
Ask for help
Lift/ Hyperflex Legs
Anterior shoulder disimpaction
Rotate posterior shoulder
Manual removal of posterior arm
Episiotomy
Roll on to all fours
SUPRAPUBIC PRESSURE
LATEST UPDATE GUARANTEED PASS
fetal fibronectin glycoprotein found in extracellular matric of amniotic membrane
- normally found in cervico-vaginal secretions until 22 weeks & again around 35 weeks
- release into fluid as a response to inflammation or separation of amniotic membranes
- In between 22 & 35 = if seen in between, it can be indicative of imminent labour
Labour dystocia > than 4 hours of active labor with less than 0.5 cm of dilation/hour
- "failure to progress"
- > 1 hour of active pushing with no descent of presenting part
protraction disorder - delayed cervical dilation
- slowed descent of head
arrest disorders - active phase
- secondary arrest of cervical dilation
- arrest of the descent of the fetal head
- failrue of the descent of the fetal head
- dilation isnt changing
Labour dystocia risk factors - overweight
- short stature
- AMA
,- infertility difficulties
- prior EVC
- uterine abnormalities
- malpresentation
- CPD
- maternal fatigue
- inappropriate use/timing of analgesic
precipitous labor <3 hours
- perineal tissue
- rapid fetal descent
- baby stunned when it comes out
- tear = not giving tissues time to adjust
external cephalic version Turning a breech baby to cephalic presentation through the
maternal abdominal wall
- ideal to do after 36 weeks gestation
occiputposterior positioning interventions - check the position of the baby (feel the
fontanels)
- position change (peanut balls, encourage baby to rotate into an OA position)
- counter pressure
Shoulder dystocia impaction of the anterior shoulder above the symphysis pubis
- vertex position
Anterior shoulders closest to the mom's pubic bone gets caught behind the symphysis pubis
, Need baby to be delivered on a short timeline
Baby's cord + pH is decreasing + ongoing contractions + separation of the placenta
shoulder dystocia complications - fetal/neonatal death
- hypoxia/asphyxia
- birth injuries
- fractures (clavicle)
- brachial plexus palsy - nerve branch that runs through the clavicular area; decreased motion
on one arm
- PPH
- uterine rupture
shoulder dystocia sign turtle sign
shoulder dystocia management ALARMER
Ask for help
Lift/ Hyperflex Legs
Anterior shoulder disimpaction
Rotate posterior shoulder
Manual removal of posterior arm
Episiotomy
Roll on to all fours
SUPRAPUBIC PRESSURE
