OB

Question 1

What are tocolytics?

Answer 1

Medications that slow down uterine contractions to delay premature labor. Delay for about 48 hrs.

Indomethacin, nifedipine or terbutaline

Question 2

What is the most important risk facot for postpartum endometritis?

Answer 2

C-section!!

Also
prelabour rupture of membranes >24hrs
active labor >12 hrs
frequent pelvic exams
internal fetal monitoring

Question 3

What is the tx for endometritis?

Answer 3

Clindamycin + gentamicin

Question 4

What does it mean for a woman to be Rh negative?

Answer 4

She has an absent D antigen. If she becomes pregnant with a baby that is RH-positive. She will develop anti-D antibodies for following pregnancies not the 1st.

anti-D antibodies attack the RBC of the baby = hemolytic disease.

Question 5

What is the presentation of hemolytic diease is a newborn 2ndary to RH incompatibility?

Answer 5

Skin edema, ascites, pericardial effusion, pleural effusion & severe anemia hem <5g/dL

Question 6

When is anti-D immune globulin administered to RH negative pregnant women?

Answer 6

28 weeks gestation and after delivery if the coombs test shows fetal RBC covered w maternal antibodies.

Question 7

What is pre-eclampsia?

Answer 7

New onset HTN (SBP >140 or DBP>90) & proteinuria (>300 mg per 24 hr urine collection) OR evidence of end-organ dysfunction. after 2o wks in a previously health person.