ALSO

Question 1

shoulder dystocia mnemonic (7 letters)

Answer 1

HELPERR

Question 2

HELPERR

Answer 2

Help
Evaluate episiotomy?
Legs - McRoberts maneuver
Pressure - suprapubic

Enter (rotational maneuvers)
Remove posterior arm
Roll patient

Question 3

Reading FHR mnemonic

Answer 3

DR C BRAVADO

Question 4

DR C BRAVADO

Answer 4

Define Risk

Contractions - comment on

BRa Baseline rate
Variability - marked >25, moderate 6-25,minimal 1-5
Accelerations >15 lasting 15 seconds +
Decels - early, late, variable
Overall Category I,II, III

Question 5

causes of PPH (4)

Answer 5

4 T’s:

Tone (atony)
Trauma
Tissue
Thrombin (coagulopathy)

Question 6

Forceps/vacuum procedure (9)

Answer 6

A Address the patient
Ask for Help
Anesthesia?

Bladder?
Cervix dilated?

Determine head
Dystocia?

Equipment?
Feel maternal tissue

Gentle Traction

Halt if:

• 20 minutes
• 3 popoffs
• Contractions

Incision - episiotomy?
Jaw reached - let go.

Question 7

5 swabs on preterms

Answer 7

T&Y
GC chlamydia
GBS
FFN
UA

Question 8

meaning of negative FFN

Answer 8

delivery unlikely in next 14 days

Question 9

window for steroid treatment

Answer 9

24-34 weeks

Question 10

dosing of steroids (essentia) for preterm labor

Answer 10

betamethasone 12 mg IM q 24 h X2

Question 11

window for Mg for neuroprotection

Answer 11

24-32 weeks

Question 12

Mg tx loading dose (two possible doses)

Answer 12

4 to 6 g/20-30 minutes

Question 13

2nd line prophylaxis for GBS

Answer 13

cefazolin

Question 14

PPH definition

Answer 14

greater than 500 mL lost

Question 15

severe PPH definition

Answer 15

greater than 1000 mL lost

Question 16

prevention of PPH (3)

Answer 16

oxytocin 10 IU IM
cord traction
uterine massage

Question 17

4 drugs to tx PPH

Answer 17

oxytocin
carboprost
misoprostol
methylergonovine

Question 18

PPH tx dosing oxytocin

Answer 18

10-20 IU

Question 19

dosing and alias for carboprost

Answer 19

hemabate

.25 mg IM

Question 20

dosing and alias for misoprostol

Answer 20

cytotec

800-1000 mcg PR

Question 21

dosing and alias for methylergonovine

Answer 21

methergine

.25 mg IM

Question 22

contraindicated PPH drug with asthma or CV/renal/hepatic dz

Answer 22

carboprost

Question 23

contraindicated PPH drug w/ HTN

Answer 23

methylergonovine

Question 24

normal baseline FHT

Answer 24

110-160 BPM

Question 25

Category I FHR must Have (5)

Answer 25

EA LMN

Early decels +/-
Accelerations +/-

Late and veriable decels ABSENT
Moderate variability
Normal baseline

Question 26

threatened ab

Answer 26

bleeding before 20 weeks GA

embryo w/beating heart, closed cervix

Question 27

heterotopic pregnancy

Answer 27

simultaneous intrauterine and ectopic pregnancy