Notes in 13 Mechanism of Labor in the Vertex Position

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Status	Last Update	Fields
Published	07/30/2024	Percentage prevalence of fetal presentation during laborLeft Occiput Transverse: {{c1::70}}%Right Occiput Transverse: {{c1::20}}%
Published	07/30/2024	Most common type of fetal presentation {{c1::Vertex / Occiput}}
Published	07/30/2024	[QC] Common Fetal Presentation 1. ROP2. LOP {{c1::A}}
Published	07/30/2024	[QC] Associated with narrow forepelvis1. Occiput Anterior Presentation2. Occiput Posterior Presentation{{c1::B}}
Published	07/30/2024	Cardinal Movements of Labor{{c1::EngagementDescentFlexionInternal rotationExtensionExternal rotationExpulsion}}
Published	07/30/2024	Engagement can only be assessed through {{c1::Pelvic X-Ray::imaging technique}} or {{c1::MRI::imaging technique}}, but currently, we evaluate using PE…
Published	07/30/2024	Acceptable indications for X-ray pelvimetry {{c1::Previous injuries to the pelvisAttempt of vaginal delivery of a fetus In a breech presentationV…
Published	07/30/2024	Definition of Engagement{{c1::When the Biparietal Diameter (largest portion of the fetal head) has passed the Linea Terminalis (pelvic inlet), it is p…
Published	07/30/2024	Definition and significance of "the baby is at Station 0"{{c1::When the lowest portion of the fetal head is at the level of the ischial spine}}
Published	07/30/2024	The distance from the lowest portion of the fetal head to the BPD is around {{c1::2-3}} cm
Published	07/30/2024	The distance from the ischial spine to the inlet is around {{c1::4}} cm
Published	07/30/2024	When does engagement occur for primigravida px?{{c1::2 weeks before EDC}}
Published	07/30/2024	[QC] Contracted pelvis 1. Normal synclitism2. Asynctilism{{c1::B}}
Published	07/30/2024	Fetal landmark for asynctilism assessment {{c1::Sagittal suture}}
Published	07/30/2024	[QC] Anterior asynclitism 1. Toward symphisis2. Toward promontory {{c1::B}}
Published	07/30/2024	[QC] Simultaneous engagement and descent 1. Nullipara2. Multipara{{c1::B}}
Published	07/30/2024	Patient should be told to "bear down" when they are in stage {{c1::2}} of labor
Published	07/30/2024	It is better that the fetal body is {{c1::straight::flexed/straight}} so that there will be an increase in the pressure of the cervix that will cause …
Published	07/30/2024	Four forces that induce descent of fetus {{c1::Direct pressure of fundusBearing down efforts of mother (abdominal muscles)Extension and Straighte…
Published	07/30/2024	CBASubocciptobregmatic planeA. VertexB. MilitaryC. BrowD. Face{{c1::A}}
Published	07/30/2024	CBAOccipitofrontal planeA. VertexB. MilitaryC. BrowD. Face{{c1::B}}
Published	07/30/2024	CBAOccipitomental planeA. VertexB. MilitaryC. BrowD. Face{{c1::C}}
Published	07/30/2024	CBASubmentobregmatic planeA. VertexB. MilitaryC. BrowD. Face{{c1::D}}
Published	07/30/2024	Normal Values: Average Fetal Occipitofrontal diameter{{c1::12}} cm
Published	07/30/2024	Normal Values: Average Fetal Suboccipitobregmatic diameter{{c1::9.5}} cm
Published	07/30/2024	The cardinal movement of flexion induces conversion from {{c1::occipitofrontal}} diameter to {{c1::suboccipitobregmatic}} diameter
Published	07/30/2024	Most of the time (70%), the position of the head of vertex presenting fetuses will be in a {{c1::left occiput transverse (LOT)}} presentation
Published	07/30/2024	fetal LOT positions transition to {{c1::LOA}} to bypass the symphysis pubis
Published	07/30/2024	Cardinal movement of labor where physicians cannot change{{c1::EngagementDescentFlexion Internal rotation}}
Published	07/30/2024	Fetal head must be extended to overcome the {{c1::symphysis pubis::Pelvic region part}}
Published	07/30/2024	Two forces during extension of fetal head{{c1::Uterus acting more posteriorly Pelvic floor and symphysis acting more anteriorly}}
Published	07/30/2024	Other name of external rotation is {{c1::restitution}}
Published	07/30/2024	External rotation corresponds to the fetal body and serves to bring its {{c1::bisacromial diameter::Fetal landmark}} into relation with the anteropost…
Published	07/30/2024	[QC] Frequency of appearance during expulsion1. Right shoulder 2. Left shoulder {{c1::A}}
Published	07/30/2024	{{c1::Shoulder dystocia}} - Obstetric emergency where the anterior fetal shoulder becomes stuck on the maternal pubic symphysis
Published	07/30/2024	Possible complication in forceful delivery of posterior shoulder {{c1::Fetal brachial plexus injury}}
Published	07/30/2024	[VR]1. Molding 2a. Suboccipitobregmatic diameter2b. Mentovertical diameter{{c1::2a. B 2b. A}}
Published	07/30/2024	Most cases of molding resolve within the {{c1::week::duration}} following delivery
Published	07/30/2024	Normal Values: Acceptable degree of molding{{c1::1}} cm
Published	07/30/2024	Causes of caput succedaneum{{c1::Early position of head at lower birth canal}}Uterine contractions and prolonged labor
Published	07/30/2024	2 Complications of cephalohematoma with severe bleeding {{c1::AnemiaJaundice}}
Published	07/30/2024	[QC] Deeper1. Caput succedaneum 2. Cephalohematoma{{c1::B}}
Published	07/30/2024	QC. Limited by suture lines1. Caput succedaneum 2. Cephalohematoma{{c1::B}}
Published	07/30/2024	QC. LM1 - fetal in transverse lie 1. Shoulder presentation2. Negative {{c1::B}}
Published	07/30/2024	CBA. Leopold's maneuver Determines what occupies the fundusA. LM1B. LM2C. LM3D. LM4{{c1::A}}
Published	07/30/2024	CBA. Leopold's maneuver Determines where the fetal back isA. LM1B. LM2C. LM3D. LM4{{c1::B}}
Published	07/30/2024	CBA. Leopold's maneuver Determines engagementA. LM1B. LM2C. LM3D. LM4{{c1::D}}
Published	07/30/2024	CBA. Leopold's maneuver Measures descentA. LM1B. LM2C. LM3D. LM4{{c1::D}}
Published	07/30/2024	CBA. Leopold's maneuver Done ONLY during laborA. LM1B. LM2C. LM3D. LM4{{c1::D}}
Published	07/30/2024	CBA. Leopold Maneuver Interpretation Large nodular massA. Fetal back B. Fetal extremititesC. BreechD. Cephalic {{c1::C}}
Published	07/30/2024	CBA. Leopold Maneuver Interpretation Hard, round, more mobile and ballotableA. Fetal back B. Fetal extremititesC. BreechD. Cephalic {{c…
Published	07/30/2024	CBA. Leopold Maneuver Interpretation CurvatureA. Fetal back B. Fetal extremititesC. BreechD. Cephalic {{c1::A}}
Published	07/30/2024	CBA. Leopold Maneuver Interpretation Small irregular mobile partsA. Fetal back B. Fetal extremititesC. BreechD. Cephalic {{c1::B}}
Published	07/30/2024	QC. LM3 - transverse lie 1. Shoulder presentation 2. Negative{{c1::B}}
Published	07/30/2024	QC. LM4 - Engaged fetus1. Negative 2. Head is flexed{{c1::A}}
Published	07/30/2024	QC. Cephalic same side with fetal back 1. Extended2. Flexed{{c1::A}}
Published	07/30/2024	QC. Cephalic opposite with fetal back 1. Extended2. Flexed{{c1::B}}
Published	07/30/2024	Fetal position/location where LM4 is negative{{c1::Engaged fetusShoulder presentation}}
Published	07/30/2024	QC. LM3 - vertex presentation & engaged1. Cephalic 2. Negative{{c1::A}}
Published	07/30/2024	Fetal in transverse lie while hard and round felt at px right abdomen, determine the Leopold's ManeuverLM1: {{c1::Negative}}LM2: {{c1::Fetal head…
Status	Last Update	Fields