Obstetrics Flash Cards

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Physical Therapy Flashcards on Obstetrics Flash Cards, created by Alethea Mendoza on 10/05/2021.
Alethea Mendoza
Flashcards by Alethea Mendoza, updated more than 1 year ago
Alethea Mendoza
Created by Alethea Mendoza almost 3 years ago
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Question Answer
What trimester does the mother feel frequent urination and SOB? 3rd Trimester
Shortening or thinning of the Cervix Effacement
Identify the stage of labor and its phase: "Uterine contractions are very strong and close together" Stage 1: Transition Phase
What is the effect of an increased uterus to the ligaments? Ligaments stretch and weaken
In respiration, what increases during pregnancy? Tidal Volume (TV) and minute ventilation
Venous pressure in the lower extremities increases during what position During standing
Position modification to avoid compression of IVC 1. Side-lying on left side (pillow under right hip) 2. Leaning back but not fully supine
At what position does the cardiac output significantly increase? Left side-lying position
What are the effects when the COG shifts upward and forward? 1. Increase lumbar and cervical lordosis 2. Moderate forward head posture 3. Rounded upper back & shoulder girdle 4. Scapular protraction 5. UE Internal Rotation 6. Genu Recurvatum (hyperextension)
Name some nerves (in UE & LE) commonly affected during pregnancy and its resulting condition. Median Nerve --> Carpal Tunnel Syndrome Brachial plexus --> Thoracic Outlet Syndrome Sciatic Nerve --> Sciatica
Nerves of the pelvic floor that are stretched and compressed during labor Pudendal and Levator Ani nerves
Incision made in the perineum during childbirth Episiotomy
What degree of Episiotomy extends to the anal sphincter? Third degree
The descent of any of the pelvic viscera out of their normal alignment because of muscular, fascial, and/or ligamentous deficits and because of increased abdominal pressure Prolapse
2 systems used in staging of Pelvic Organ Prolapse Baden-Walker System Pelvic Organ Prolapse qualification system
In the Baden-Walker system, this grade is characterized by pelvic organ descending to the hymen Grade 2
Exercise for Urinary or Fecal Incontinence Kegel's Exercises
Separation of the rectus abdominis muscles in the midline at the linea alba Diastasis Recti
In diastasis recti, any separation larger than ____ is considered significant >2 finger widths
Exercises for Diastasis Recti Corrective Exercises Transverse abdominis exercises
What is contraindicated for postural-related back pain in pregnancy? Electrical modalities
Defined as heaviness or aching discomfort, especially with dependent leg positions Varicose veins
Which of the ff. is an ABSOLUTE contraindication for exercise during pregnancy? a. Chronic Bronchitis b. Restrictive Lung Disease c. Extreme morbid obesity d. Poorly controlled seizure b. Restrictive Lung Disease
Possible reasons for caesarean birth? Lengthy labor Prolonged 2nd stage
What condition is a risk factor for Cerebral Palsy? Placenta previa
What muscle group should not be over-stretched in women with pelvic instability? Hip adductors
Most common method of relaxation Mitchell's Method
Relaxation technique that involves muscle setting Jacobson's Method
Give an exercise that is not safe during pregnancy 1. Bilateral SLR 2. Fire hydrant position 3. Unilateral weight bearing activities
Which statement is true? 1. In the cervical dilation phase, the cervix dilates from 4-7 cm. 2. Contractions are directed from top to down pushing the fetus downward. Second statement
Give an impairment encountered in cesarean delivery - Risk of pneumonia - Pelvic floor dysfunction - Faulty posture
Which of the ff. should be encouraged for patients with high risk pregnancy? a. All of the choices b. Ankle pumping c. Supine with wedge placed under right hip d. Left side lying position a. All of the choices
Which of the ff. is NOT seen in the 3rd trimester? a. Fatigue b. Nausea c. Leg edema d. Constipation b. Nausea
Give an exercise to relieve intestinal gas pain - Pelvic tilting exercise - Kneading while lying on left side - Abdominal massage
Give activities that are difficult to do in the 3rd trimester Anything that requires bending forward (ex: wearing shoes) Stair negotiation Getting up from the bed
Which of the ff. is not part of the levator ani? a. Pubococcygeus b. Puborectalis c. Iliococcygeus d. Coccygeus d. Coccygeus
Normal gestation period 38-42 weeks
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