19: Obstetric Complications

Question 1

drug of choice for managing preterm labor

Answer 1

magnesium sulfate

Question 2

lower limit of viability for weeks and grams for an infant

Answer 2

22-24 weeks, 500grams

Question 3

when is vaginal vs cesarean preferred for a preterm infant

Answer 3

1. vertex: vaginal

2. very low weight, breech: cesarean

Question 4

two meds that may help prevent preterm labor in the near future

Answer 4

1. IM progesterone (Makena)

2. Vaginal progesterone: for women with shortened cervix

Question 5

S/S of chorioamnionitis

Answer 5

maternal temp of 100.4, fetal or maternal tachy, tender uterus, foul smelling fluid/discharge

Question 6

five parts of a biophysical profile

Answer 6

1. nonstress test
2. fetal breathing movements
3. fetal movement
4. fetal tone
5. amniotic fluid volume

Question 7

what are IUGR infants at greater risk of as adults

Answer 7

DM, HTN, CAD