Labor Complications — Flashcards

Flashcard 271: HSV lesions during labor = _____ No lesions during labor = _____

Answer: C-section

Flashcard 272: The contraindications to external cephalic version (ECV) are generally the same as the contraindications to vaginal delivery: _____

Answer: Prior classical C-section Prior extensive uterine surgery (e.g., myomectomy) Placenta previa

Extra: Basically, if a patient cannot safely undergo a vaginal delivery (e.g., due to placenta previa or a prior classical uterine incision), external cephalic version is contraindicated. Note that a prior low transverse C-section is not an absolute contraindication.

Flashcard 273: External cephalic version can be attempted for breech presentations at ≥ _____ weeks gestation

Answer: 37

Flashcard 274: Maternal complications associated with placental abruption include _____ and hypovolemic shock

Answer: DIC

Flashcard 275: Maternal fatigue is an indication for vacuum-assisted vaginal delivery _____

Answer: T

Flashcard 276: What is the most likely diagnosis in a pregnant patient with prior C-section, contractions, painful third trimester bleeding, and contractions that stop with the onset of bleeding? _____

Answer: Uterine rupture

Flashcard 277: Retraction of the fetal head into the perineum after delivery (e.g. turtle sign) is suggestive of what obstetric complication? _____

Answer: Shoulder dystocia

Flashcard 278: Indomethacin is contraindicated at which gestational age? _____

Answer: > 32 weeks gestation

Flashcard 279: What is the next step in management for a pregnant woman at 38 weeks gestation with chorioamnionitis after administration of antibiotics? Fetal heart tracing reveals tachycardia but is otherwise reassuring. _____

Answer: Induction of labor

Flashcard 280: Preterm labor refers to regular contractions causing cervical dilation and/or effacement at < _____ weeks gestation

Answer: 37