dec 7 Flashcards
Etiology of early decelerations on CTG
- fetal head compression
- can be normal
Etiology of late decelerations on CTG
uteroplacental insufficiency
Etiology of variable decelerations on CTG
- cord compression
- oligohydramnios
- cord prolapse
Management of fetal cord compression?
- maternal repositioning - left lateral or all fours
2. Amnioinfusion
how does a liver with nonalcoholic fatty liver disease appear on ultrasound?
hyperechoic
what medication is indicated for women with multiple gestations?
Aspirin - to prevent preeclampsia (they are considered high risk)
What contraceptive in contraindicated in paitnets with migraine with aura?
combined contraceptives - increases risk of stroke (must be on progestin only)
why do women on levothyroxine need an increased dose during pregnancy?
Estrogen increased the thyroxine-binding protein
Cold knife conization of the cervix is a risk for what in pregancy?
preterm delivery
Who should receive a transvaginal cervical length measurement?
All pregnant women without a history of prior preterm birth (if they already have a history they need treatment anwayy)
management of a short cervical lenght in pregnancy?
vaginal progesterone
A women with HIV and a high viral load presents in labour, how do you manage her?
- give intrapartum zidovadine
- C section
findings of a missed abortion
Closed cervix, ultrasound shows no heart beat
findings of an inevitable abortion
cervical dilation and products of conception in the lower uterus
characteristics of a threatened abortion
Bleeding with a closed cervix and a fetal heartbeat present
