Labor Complications — Flashcards

Flashcard 201: Is a trial of labor (vaginal delivery) contraindicated in a patient with history of a low transverse cesarean delivery? _____

Answer: No

Flashcard 202: What can cause uterine distension in placental abruption? _____

Answer: Concealed bleeding behind the placenta

Extra: Concealed bleeding (retroplacental hemorrhage) occurs when blood is trapped between the placenta and the uterine wall. This leads to uterine distension, a firm/rigid uterus (often described as "board-like"), and fundal height greater than expected for gestational age. In these cases, external vaginal bleeding may be minimal despite significant blood loss.

Flashcard 203: _____ incontinence is associated with a positive bladder stress test

Answer: Stress

Flashcard 204: Funneled lower uterine segment is suggestive of _____

Answer: cervical incompetence

Flashcard 205: Fetal heart rate decelerations that mirror uterine contractions (nadir of deceleration corresponds to the peak of the contraction) are _____.

Answer: early decelerations

Extra: Early decelerations are caused by fetal head compression (vagal response). They mirror contractions (onset, nadir, and recovery coincide with the contraction) and are clinically benign, requiring no intervention.

Flashcard 206: Intrapartum penicillin is indicated without routine screening in pregnant women with a history of GBS _____ during current pregnancy or those with a prior delivery complicated by neonatal GBS infection

Answer: bacteruria or UTI

Flashcard 207: What is the best long-term management for stress urinary incontinence due to urethral hypermobility? _____

Answer: Urethral sling surgery

Flashcard 208: What is the recommended management for a patient with arrest of active labor? _____

Answer: Cesarean delivery

Flashcard 209: What is the general treatment for a choriocarcinoma? _____

Answer: Chemotherapy MAC (Methotrexate, Actinomycin D, Cyclophosphamide with possible surgery)

Flashcard 210: Is intra-amniotic infection an indication for C-section? _____

Answer: No