12 Flashcards
management of placenta previa at 20 weeks
- avoid: digital vag exam, intercourse
- schedule c-section at 36-37 wks
- modify if future US’s show differently
imaging for vasa previa
doppler US
complications of shoulder dystocia for infant
brachial plexus injury –> Erb’s palsy (waiter tip)- most- spontaneous recovery within 3 mo surgery if no improvement 3-6 mo
clavicle or humerus injuries
hypoxic encephalopathy
dysmenorrhea, dyspareunia, chronic pelvic pain that is worse in menses
endometriosis
manage endometriosis
- NSAIDs, OCPs
2. if fail, laparoscopy and biopsy of endometrial implants
AB fetus with O + mom
mom has anti-A and anti-B antibodies already so can affect 1st pregnancy
but only mild anemia- jaundice first 24 hours that responds to phototherapy
gestational diabetes targets
fasting: <95
1 hr post-p: <140
2 hr post-p: <120
manage shoulder dystocia
BE CALM
Breathe, don’t push
Elevate hips above abdomen (mcroberts)
Call for help Apply suprapubic pressure enLarge vag with episiotomy Maneuvers: -deliver posterior arm -rotate 180 degrees -collapse anterior shoulder -replace fetal head into pelvis for c-sec
find breast lump in over age 30
Mammogram/ US
if suspicious –> core biopsy
find breast lump under age 30
US / mammogram
if simple cyst –> needle aspiration
if complex cyst–> image-guided core biopsy
Paget disease of breast
painful, itchy, eczematous, ulcerating rash on nipple
underlying breast adenocarcinoma
exercise recommendations in pregnancy
moderate intensity 20-30 min/day
stop if leak, cervical incompetent, multiple gestation, previa, preeclampsia, severe heart or lung disease
sports to avoid in pregnancy
contact sports- hockey, soccer
high fall- skiing, gymnastics, horseback
scuba diving
hot yoga
external cephalic version
maneuvers to convert breech into vertex
after 37 weeks
reduces c-sect rate
contra: ruptured membranes, hyperextended fetal head, non reassuring fetal HR, oligohydramnios, twins, placental abnl
mittleschmerz
pain during ovulation
PID treatment
INPATIENT IV cefatetan plus doxycycline
Rx for HRT
vasomotor symptoms oligomennorhea sleep disturb. low libido depression cognitive decline vaginal atrophy
tests you do after nonreactive non stress test
BPP or contraction stress test (dont do cat if contraindications to labor)
BPP score of 0-4/10 indicates
fetal hypoxia
diagnosis of ectopic pregnancy
bHCG and transVAGINAL US
breast abscess treatment
antibiotics + needle aspiration of abscess
nonreactive non stress test but normal fetal movement means…
fetus is asleep! usually around 40 min
hcg made by what and function
made by synctitioptrophoblast
function: maintain corpus lute to make progesterone during early pregnancy
what type of contraception is used in setting of breast cancer
copper IUD
