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Maternity-Module 5&6
Labor & Delivery (II&III) - Chapter 8
| Question | Answer |
|---|---|
| dystocia | long, difficult, or abnormal labor and birth; may arise from any of the major components of the labor process: the powers, the passenger, or the passage |
| hypertonic labor | uterine contractions that are uncoordinated, painful, and frequent but do not reuslt in cervical dilation and effacement |
| hypotonic labor | uterine contractions that are weak and ineffective; this labor pattern usually occurs during the active phase of labor |
| macrosomia | large body size; fetal birth weight above the 90th percintile on an intrauterine growth chart for that gestational age; often seen in neonates of diabetic or prediabetic mothers |
| precipitous labor | rapid or sudden labor that lasts less than 3 hours from the beginning of contractions to birth |
| Bandl ring | pathologic retraction ring composed of an abnormally thickened ridge of uterine musculature that develops between the upper and lower uterine segments; occurs after a mechanically obstructed labor |
| trial of labor | observation period to determine if a woman in labor is likely to successfully progress to a vaginal birth |
| induction | stimulation of uterine contractions before the onset of spontaneous labor |
| Bishop score tool | rating system to evaluate cervical inducibility; a higher score is associated with a greater likelihood for successful labor induction |
| augmentation of labor | stimulation of ineffective uterine contractions after labor has begun spontaneously but is not progressing satisfactorily |
| cephalopelvic disproportion | condition in which the fetal head is of a shape, size, or position that prohibits it from passing through the maternal pelvis; may also be caused by maternal pelvic problems |
| asynclitism | oblique presentation of the fetal head at the superior strait of the pelvis-the pelvic planes and those of the fetal head are not parrallel |
| version | act of turning the fetus in the uterus from one presentation to another |
| McRoberts maneuver | often the first maneuver for fetal delivery after a diagnosis of shoulder dystocia is made. Woman placed in a dorsal lithotomy position and thighs are sharply flexed on her abdomen. Allows greater room for fetal descent |
| oligohydramnios | abnormally small amount of amniotic fluid |
| meconium | first stools of the infant; characteristically viscid, dark greenish brown, sticky, sterile, and odorless |
| Couvelaire uterus | the accumulation of blood between the separated placenta and the uterine wall, often as a result of abruptio placentae |
| uterine inversion | condition in which the uterus is turned inside out; the fundus intrudes into the cervix or vagina caused by vigorous efforts to remove the placenta before it is detached by the natural process of labor |
| vasa previa | condition where the umbilical cord is implanted into the fetal membranes rather than the placenta |
| perinatal loss | death of a fetus or infant from the time of conception through the end of the newborn period 28 days after birth |
| hydramnios | amniotic fluid in excess of 2.0 liters (aka polyhydramnios) |