Birth Flashcards

1
Q

PGE contraindications?

A

Asthma, Glaucoma

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2
Q

Adequate CTX?

A

200 MVU

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3
Q

Arrest of labor in stage 2?

A

2 hrs multi - epidural
3 hrs mult + epidurla
3 hrs nuli - epidural
4 hrs nuli + epidural

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4
Q

Previa plan?

A

c/s at 36 wks if not active bleed

immediate c/s if uncontrolled

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5
Q

When are tocolytics indicated?

A

Preterm + contractions WITH cervical change

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6
Q

Terbutaline contraindication?

A

DM

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7
Q

Mg contraindication?

A

Myasthenia Gravis

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8
Q

Indomethacin contraindications?

A

Close to term
Pulm HTN
Renal failure

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9
Q

ABX for prolonging labor?

A

Ampicillin + Erythromycin

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10
Q

Seizure in preg tx (4)?

A

Mag bolus
Lorazepam
Phenytoin
Phenobarb

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11
Q

IUGR risks?

A
Smoking
SLE/Anti phospholipid
Renal disease
HTN
anemia
Placental issues
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12
Q

When do you give Rhogam in preg?

A

28 wks

Postpartum

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13
Q

Gestational HTN cutoff?

A

140/90 x 2 4-6 hrs apart

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14
Q

Pre-Eclampsia Dx?

A

> 140/90

>300 mg/24 hr protein

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15
Q

Mag therapeutic?

A

4-7

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16
Q

Mag OD tx?

A

Ca gluconate/ CaCl

17
Q

Tx for UTI in preg?

A

Amox
Macrobid (nitrofurantoin)
+ UC to prove cure

18
Q

BV discharge?

A

thin, white, malodorous
pH .4.5
Whiff +

19
Q

BV risk of what?

A

Increased risk of PPROM

20
Q

HSV indications for c/s?

A

active outbreak or prodromal symptoms

21
Q

VZV spread?

A

Trans-placental

22
Q

HIV c/s indications?

A

> 1000 viral load

23
Q

HBV spread?

A

Transplacental

24
Q

Caffeine risk of?

A

Miscarriage

25
Q

Cigarettes risk? Protective?

A

SAB, preterm, placenta previa, abruption, LBW, SIDS

Protective for Pre-Eclampsia

26
Q

Methergine contraindication?

A

HTN/Pre eclampsia

27
Q

Creatinine cut off for Pre Eclampsia severe feature?

A

> 1.1 (Usually drops below 1 in pregnancy)

28
Q

Uterine rupture vs. Placental abruption?

A
Rupture = No contractions
Abruption = worse contractions
29
Q

Arrest of labor criteria?

A

Contractions >200MVU
>6 cm dilated
Time criteria 2-3-3-4