Abnormal And Normal Labor Jeopardy Template

Back to the Basics!	Fetal Heart Tracing	Anesthesia	Stages of Labor	Labor Augmentation
100 FIRST!! She states she has been having regular contractions every 5 minutes and some blood tinged mucous. In the office last week she was 2 cm. You check her cervix and she is now 4 cm, 50%, soft, anterior, -2 station. What stage is she in?	100 110-160 minimum of 2 minutes in any 10 min segment What is defined as a normal fetal heart rate? How is baseline determined on EFM?	100 parental agents, epidural, spinal, general, pudendal blocks Types of anesthesia available	100 Onset of labor (regular painful ctx q3-5min) to complete dilation. Latent phase - up to 4cm - Active phase - 4cm to complete. Define the first stage of labor? What are the 2 phases?	100 E1, 25mcg PV q 4hrs (ususally ~6doses), onset of 30 minutes, no no in VBAC! MISOPROSTOL What type of prostaglandin is it? What is the dosing? How fast does it work?
200 5 or less A Bishops score of ____ suggests that labor is unlikely to start without an induction.	200 absent: undetectable minimal:5 or less moderate: 6-25 marked: >25 Define Absent/Minimal/Moderate/Marked variability	200 Demerol 25-50mg IV q1-2hr Demerol 50-100mg IM q2-4hr Morphine 2-5mg IV or 10mg IM q4hr Phenergan 25mg IV parental agents for labor pain	200 nulliparous = >20hrs multip = >14hrs What is considered a PROLONGED latent phase?	200 E2, 10mg, usually ~12hrs, per manufacturer: not to start Pit for 6hrs after removal CERVIDIL What type of prostaglandin is it? What is the dosing? How long does it stay in?
300 RESUSITATE! position change, oxygen to increase maternal-fetal O2 gradient, IVF bolus to corrent hypotension, discontinue PIT, SVE You review a pts strip and notice late decelerations, what do you do?	300 early: head compression, mirrors ctx and onset to nadir >/=30sec, common in active labor 4-7cm late: gradual decrease with onset to nadir >/=30sec, nadir after peak of ctx variable: abrupt decrease, drop 15bts for 15sec but no more than 2 minutes Define early, late, variable deceleration	300 epidural routine if plt >100,000 contraindicated if less than 50,000 anesthesia and thrombocytopenia	300 1.2cm/hr for nulliparous 1.5 cm/hr for multiparous PROTRACTION DISORDER What is the rate of cervical dilation in the active phase of labor for nullip vs multip? What is the diagnosis if cervical change is less?	300 E2 PREPIDIL
400 Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion What are the Cardinal movements?	400 baseline110-160 variability: moderate late/variables: absent early: present or absent define a Cat 1 tracing	400 therapeutic Lovenox stop >24hrs prophylactic Lovenox stop >12hrs heparin :6hrs anesthesia and anticoagulation	400 complete dilation to delivery of infant nullip: <3hr with epidural, <2hr multip: <2hr with epidural, <1hr without Define the 2nd stage of labor? How long should it take for nullip vs multip with and without an epidural?	400 Cook catheter, laminaria Options for mechanical dilation
500 1500 In what year was the first successful cesarean section (with mother and baby both surviving)	500 absent variability in the setting of recurrent lates, variables or bradycardia OR sinusoidal pattern define a Cat 3 tracing	500 post-dural puncture headache - IVF, caffeine, blood pathch (inject 20-30cc of the pts own blood into the epidural space) what is the most common pp complaint following epidural anesthesia	500 delivery of placenta, <30minutes cord lengthening, gush of blood, fundal rebound Define the 3rd stage of labor? Signs of cord separation?

Abnormal and Normal Labor

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