Birth

Question 1

PGE contraindications?

Answer 1

Asthma, Glaucoma

Question 2

Adequate CTX?

Answer 2

200 MVU

Question 3

Arrest of labor in stage 2?

Answer 3

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

Question 4

Previa plan?

Answer 4

c/s at 36 wks if not active bleed

immediate c/s if uncontrolled

Question 5

When are tocolytics indicated?

Answer 5

Preterm + contractions WITH cervical change

Question 6

Terbutaline contraindication?

Answer 6

DM

Question 7

Mg contraindication?

Answer 7

Myasthenia Gravis

Question 8

Indomethacin contraindications?

Answer 8

Close to term
Pulm HTN
Renal failure

Question 9

ABX for prolonging labor?

Answer 9

Ampicillin + Erythromycin

Question 10

Seizure in preg tx (4)?

Answer 10

Mag bolus
Lorazepam
Phenytoin
Phenobarb

Question 11

IUGR risks?

Answer 11

Smoking
SLE/Anti phospholipid
Renal disease
HTN
anemia
Placental issues

Question 12

When do you give Rhogam in preg?

Answer 12

28 wks

Postpartum

Question 13

Gestational HTN cutoff?

Answer 13

140/90 x 2 4-6 hrs apart

Question 14

Pre-Eclampsia Dx?

Answer 14

> 140/90

>300 mg/24 hr protein

Question 15

Mag therapeutic?

Answer 15

4-7

Question 16

Mag OD tx?

Answer 16

Ca gluconate/ CaCl

Question 17

Tx for UTI in preg?

Answer 17

Amox
Macrobid (nitrofurantoin)
+ UC to prove cure

Question 18

BV discharge?

Answer 18

thin, white, malodorous
pH .4.5
Whiff +

Question 19

BV risk of what?

Answer 19

Increased risk of PPROM

Question 20

HSV indications for c/s?

Answer 20

active outbreak or prodromal symptoms

Question 21

VZV spread?

Answer 21

Trans-placental

Question 22

HIV c/s indications?

Answer 22

> 1000 viral load

Question 23

HBV spread?

Answer 23

Transplacental

Question 24

Caffeine risk of?

Answer 24

Miscarriage

Question 25

Cigarettes risk? Protective?

Answer 25

SAB, preterm, placenta previa, abruption, LBW, SIDS Protective for Pre-Eclampsia

Question 26

Methergine contraindication?

Answer 26

HTN/Pre eclampsia

Question 27

Creatinine cut off for Pre Eclampsia severe feature?

Answer 27

> 1.1 (Usually drops below 1 in pregnancy)

Question 28

Uterine rupture vs. Placental abruption?

Answer 28

``` Rupture = No contractions Abruption = worse contractions ```

Question 29

Arrest of labor criteria?

Answer 29

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