Labor Complications — Flashcards

Flashcard 151: What is the likely diagnosis in a laboring patient with ≥ 6 cm dilation that experiences no further dilation for 4 hours despite adequate contractions? _____

Answer: Arrest of active labor

Flashcard 152: Are pessaries used as conservative treatment for complete pelvic organ prolapse? _____

Answer: Yes

Flashcard 153: Anterior vaginal wall prolapse is suggestive of _____

Answer: cystocele

Flashcard 154: What is the likely diagnosis in a woman that develops abdominal pain and hemorrhagic shock after failing to deliver the placenta? There is a smooth, round mass protruding through the vagina. _____

Answer: Uterine inversion

Flashcard 155: Fetal bradycardia with absent variability is a fetal heart rate category _____ pattern

Answer: III

Extra: Category III fetal heart rate (FHR) patterns are abnormal and associated with an increased risk of fetal acidemia. They include: **Absent baseline FHR variability** AND any of the following: - Recurrent late decelerations - Recurrent variable decelerations - **Bradycardia** OR - **Sinusoidal pattern**

Flashcard 156: Cervicitis affects the _____

Answer: endocervical glands

Flashcard 157: What is the likely diagnosis in a patient who develops respiratory failure, hypotension, and DIC immediately post-partum? _____

Answer: Amniotic fluid embolism

Flashcard 158: If maternal repositioning is unsuccessful, what are subsequent intrauterine resuscitation measures that can be taken? _____

Answer: Amnioinfusion, tocolytics (if tachysystole), or emergency C-section

Extra: Intrauterine resuscitation and management steps for fetal distress: - Maternal repositioning (left lateral decubitus) - IV fluid bolus - Discontinuation of oxytocin - Tocolytics (if uterine tachysystole is present) - Amnioinfusion (if variable decelerations are present) - Emergency C-section (if measures fail and the fetal heart rate tracing remains non-reassuring/Category III)

Flashcard 159: Fetal hypoxic brain injury is typically due to acute uteroplacental insufficiency (e.g. _____ or _____)

Answer: labor stress

Flashcard 160: Is pelvic floor therapy used as conservative treatment for complete pelvic organ prolapse? _____

Answer: No