18 Questions
Which of the following is a common predisposing factor for cord prolapse?
Placenta previa
What is the initial action to be taken in the management of a prolapsed umbilical cord?
Place the mother in the knee-chest position
What is the primary complication associated with uterine inversion?
Postpartum hemorrhage
Which of the following should NOT be done in the initial management of a completely inverted uterus?
Attempt to manually replace the inverted uterus
Which of the following is a key step in the management of a partially inverted uterus?
Administer a tocolytic medication
What is the recommended mode of delivery for subsequent pregnancies after a uterine inversion?
Cesarean section
Which of the following is a vertex malpresentation?
Brow presentation
What is the recommended management for an occiput transverse position?
Encourage the mother to lie on her side opposite the fetal back
Which of the following is a potential maternal complication associated with precipitate labor?
Postpartum hemorrhage
What is the recommended management for a shoulder presentation (transverse lie)?
Prepare for a cesarean section
Which of the following is a potential fetal complication associated with precipitate labor?
Fetal distress
What is the recommended management for a compound presentation?
Prepare for a cesarean section
What is the maternal complication of precipitate labor?
Premature separation of the placenta leading to hemorrhage
Which one of the following is NOT a fetal complication of precipitate labor?
Placental abruption
What should be done to support the perineum during the management of precipitate labor?
Support the perineum with a towel to prevent lacerations
Which of the following is a predisposing factor for inversion of the uterus?
Pulling or traction on the umbilical cord to remove the placenta
What is the recommended management for precipitate labor in a multiparous woman with a history of brief past labor?
Advise the client to prepare for appropriately timed transport starting on her 28th week of gestation
What is the definition of inversion of the uterus?
Turning inside out of the uterus with either birth of the fetus or the delivery of the placenta
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.
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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