Exam (elaborations)
PN 135 OB EXAM 2 INTRAPARTUM
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PN 135 OB EXAM 2 INTRAPARTUM...
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Bishop score (pelvic score)The most commonly used method to rate cervix readiness 4 induction -
ANSWER -bishop score gives points to 5 measurements of the pelvic
examination:
-dilation, effacement of the cervix
station of the fetus
-consistency of the cervix
-position of the cervix
Station - ANSWER -level of the presenting part (fetal part seen) in the
birth canal about the ischial spine to the presenting part of the fetus.
Station assists with assessing - ANSWER fetal descent in labour.
Station measurement
to assess cervical favor-ability - ANSWER An imaginary line@the
ischial spines of the maternal pelvis
Higher is a (-) & lower is (+)
Dilation/effacement/station (5/-1/80%)
desirable for induction ..... - ANSWER scores of 7-10
Reasons to add 1 point to a bishop score - ANSWER preclampsia
-each previous delivery
reasons to subtract 1 point from a bishop score - ANSWER post-date
pregnancy
-nulliparity
-PPROM
(premature-preterm rupture of membranes)
bishop score based on cervix : score 0
-position
- consistency
-effacement
-dilation
, - station - ANSWER score 0
position: posterior
consistency: firm
effacement: 0-30%
dilation: closed
station: -3
bishop score based on cervix : score 1
-position
- consistency
-effacement
-dilation
- station - ANSWER Score 1
position: mid-position
consistency; medium
effacemeent: 30-50%
dilation: 1-2 cm
station: -2
bishop score based on cervix : score 2
-position
- consistency
-effacement
-dilation
- station - ANSWER Score 2
position: Anterior
consistency: soft
effacemeent: 60-70%
dilation: 3-4 cm
station: -1
bishop score based on cervix : score 3
-effacement
-dilation
- station - ANSWER Score 3
Effacement: >80%
Dilation: >5 cm
Station: +1, +2
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