Inversion of the Uterus Quiz
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Questions and Answers

Which of the following is a common predisposing factor for cord prolapse?

  • Maternal obesity
  • Oligohydramnios
  • Placenta previa (correct)
  • Gestational diabetes

    • What is the initial action to be taken in the management of a prolapsed umbilical cord?

  • Perform an emergency cesarean section
  • Attempt to manually replace the cord
  • Administer tocolytic medication
  • Place the mother in the knee-chest position (correct)

    • What is the primary complication associated with uterine inversion?

  • Postpartum hemorrhage (correct)
  • Placental abruption
  • Pelvic organ prolapse
  • Uterine rupture

    • Which of the following should NOT be done in the initial management of a completely inverted uterus?

    <p>Attempt to manually replace the inverted uterus</p> Signup and view all the answers

    Which of the following is a key step in the management of a partially inverted uterus?

    <p>Administer a tocolytic medication</p> Signup and view all the answers

    What is the recommended mode of delivery for subsequent pregnancies after a uterine inversion?

    <p>Cesarean section</p> Signup and view all the answers

    Which of the following is a vertex malpresentation?

    <p>Brow presentation</p> Signup and view all the answers

    What is the recommended management for an occiput transverse position?

    <p>Encourage the mother to lie on her side opposite the fetal back</p> Signup and view all the answers

    Which of the following is a potential maternal complication associated with precipitate labor?

    <p>Postpartum hemorrhage</p> Signup and view all the answers

    What is the recommended management for a shoulder presentation (transverse lie)?

    <p>Prepare for a cesarean section</p> Signup and view all the answers

    Which of the following is a potential fetal complication associated with precipitate labor?

    <p>Fetal distress</p> Signup and view all the answers

    What is the recommended management for a compound presentation?

    <p>Prepare for a cesarean section</p> Signup and view all the answers

    What is the maternal complication of precipitate labor?

    <p>Premature separation of the placenta leading to hemorrhage</p> Signup and view all the answers

    Which one of the following is NOT a fetal complication of precipitate labor?

    <p>Placental abruption</p> Signup and view all the answers

    What should be done to support the perineum during the management of precipitate labor?

    <p>Support the perineum with a towel to prevent lacerations</p> Signup and view all the answers

    Which of the following is a predisposing factor for inversion of the uterus?

    <p>Pulling or traction on the umbilical cord to remove the placenta</p> Signup and view all the answers

    What is the recommended management for precipitate labor in a multiparous woman with a history of brief past labor?

    <p>Advise the client to prepare for appropriately timed transport starting on her 28th week of gestation</p> Signup and view all the answers

    What is the definition of inversion of the uterus?

    <p>Turning inside out of the uterus with either birth of the fetus or the delivery of the placenta</p> Signup and view all the answers

    Study Notes

    Cord Prolapse

    • A common predisposing factor for cord prolapse is a vertex malpresentation.

    Management of Prolapsed Umbilical Cord

    • The initial action to be taken is to elevate the presenting part to relieve cord compression.

    Uterine Inversion

    • The primary complication associated with uterine inversion is maternal hemorrhage.
    • In the initial management of a completely inverted uterus, the uterus should NOT be pushed back into the pelvis.
    • In the management of a partially inverted uterus, the key step is to replace the uterus by pushing it upwards and backwards.

    Subsequent Pregnancies after Uterine Inversion

    • The recommended mode of delivery for subsequent pregnancies after a uterine inversion is a cesarean section.

    Vertex Malpresentations

    • A vertex malpresentation is a face presentation.

    Occiput Transverse Position

    • The recommended management for an occiput transverse position is to await spontaneous rotation or to perform manual rotation.

    Complications of Precipitate Labor

    • A potential maternal complication associated with precipitate labor is perineal trauma.
    • A potential fetal complication associated with precipitate labor is birth asphyxia.
    • The maternal complication of precipitate labor is perineal trauma.

    Management of Precipitate Labor

    • In the management of precipitate labor, the perineum should be supported to prevent perineal trauma.
    • In a multiparous woman with a history of brief past labor, the recommended management for precipitate labor is to slow down the labor process with tetrahydroisoline or magnesium sulfate.

    Inversion of the Uterus

    • A predisposing factor for inversion of the uterus is a fundal placenta.
    • The definition of inversion of the uterus is a condition where the uterus turns inside out after delivery, often resulting in severe bleeding.

    Other Complications

    • A potential complication associated with shoulder presentation (transverse lie) is fetal distress.
    • A potential complication associated with compound presentation is umbilical cord prolapse.
    • One of the fetal complications of precipitate labor is cephalohematoma.

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    Description

    Test your knowledge on the different types of uterine inversions, their assessment, and the associated risks. Learn to identify symptoms and understand the importance of timely intervention.

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