Extras: OB / Gyn Flashcards
meds for mild vs severe chronic HTN in pregnancy
- mild chronic: ASA for last 12 weeks
2. severe: labetolol, nifedipine, etc.
Dx of preeclampsia
HTN + proteinuria + edema
Tx for preeclampsia with severe features
hospitalize, deliver is 34+ wks, give BP meds
HELLP stands for?
hemolysis, elevated liver enzymes, low platelets
Tx for HELLP syndrome
immediate delivery
5, 6, 7 weeks on US and hCG levels
- 5weeks: gestational sac**, hcg 1500-2000
- 6weeks: fetal pole, hcg 5200
- 7 weeks: cardiac activity, hcg 17,500
when pregnant, one should see the OBGYN q4 weeks until ___wks, when one starts going every 2 weeks
28 weeks
normal amount of fetal movements felt by mom
10 movements in 2 hrs
normal NST
2 accels of 15+ bmp for 15+ seconds
valproid acid during pregnancy causes?
open spina bifida
quadruple screen for genetic anomalies in 2nd trimester
hCG, estriol, AFP, Inhibin A
normal range of fetal heart rate
110-160
when are prolonged decels seen?
while pushing
7 cardinal movements of labor
- engagement
- descent
- flexion
- internal rotation
- extension
- external rotation
- expulsion
MVUs sufficient for labor
200+ per 10mis for 2+ hrs
labor with head positioning: OA, OT, OP
- OA: normal
- OT: need to rotate head manually
- OP: longer labor and more back pain
long end of stage 1 of labor for nulliparous and multiparous women (more = prolonged labor)
- nullip: 20 hours
2. multip: 14 hours
how to treat prolonged latent phase of labor
morphine for therapeutic sleep
fetal descent rates for nullip vs multip women in active stage 1
- nullip: 1cm/hr
2. multip: 2cm/hr
when to give pitocin in active stage of labor
- <3 contractions per 10 min
2. contractions <25 mmHg
definition of retained placenta
no delivery within 30 mins of birth
erb-duschenne palsy vs klumpke palsy
- erb: C5 and C6 injury -> upper arm palsy
2. klumpke: C7 and T1 injury -> lower arm palsy
which type of twin has no risk factors and is present in 1 in 250 births worldwide
monozygotic
arterial to arterial anastomosis presentation
acardiac twin