OB Flashcards
what is preeclampsia
-HTN
-protein in urine
-edema
what is HELLP
-hemolysis
-elevated liver enzymes
-low platelets
what preterm tocolytics should you use
-Mag sulfate
-terbutaline
what are tocolytics
medications used to slow/stop the contractions of a woman’s uterus during pregnancy
what are the 3 types of breech delivery
-frank- butt present
-complete- both feet present
-footling- 1 foot is present
what is post partum hemorrhage defined as
greater than 500 cc blood loss after delivery
How do we control post delivery hemorrhage
-fundal massage
-oxytocin or ergometrine
-bimanual compression
-may need to give blood ( 1PRBC to 1 FPC)
how do you determine Mag toxicity in a pregnant woman
loss of deep tendon reflexes
who do we treat first when mom and baby are having health issues.
-treat mom 1st
-what’s good for mom is good for the baby
who consumes for O2; adults or infants
infants consume 2x the amount of O2 as adults
when do the fontanels close on a baby
-Anterior close at 12-18 months
-posterior close at/by 2 months
what is the treatment of Mag toxicity
calcium chloride (CaCl) 1g/10ml IVSP
sinusoidal rhythm instead of accelerations on fetal heart monitor
usually indicates anemia and fetal distress.
Late decelerations on fetal heart monitor
do not begin until peak of contractions.
Most worrisome
fetal hypoxia
Early decelerations on fetal heart monitor
seen when the baby’s head is compressed. often happens during late stages of labor
not harmful
