OBGYN wWise 3

Question 1

How detect chorioamnionitis?

Answer 1

Glucose < 20

IL-6 should be increased

Question 2

How prevent PPROM?

Answer 2

17a-hydroxyprogesterone

- admin weekly from 16-36 weeks

Question 3

SROM 36 hours ago, at 36 weeks.

- next step?

Answer 3

Augment labor

- concern for chorioamnionitis

Question 4

2 causes fetal tachycardia?
-
-

Answer 4

Maternal fever

Chorioamnionitis

Question 5

Amnioinfusion is used for what?

Answer 5

Repetitive variable decelerations

Question 6

Terbutaline

Answer 6

Beta2 agonist

• slow contractions
• not for pt’s w/ tachycardia

Question 7

Fetal head compression causes?

Answer 7

Early decelerations

Question 8

What causes loss of variability?

Answer 8

Maternal drugs

Question 9

What can cause fetal bradycardia?

Answer 9

Uterine hyperstimulation

Question 10

FFP contains?

Answer 10

Fibrinogen
Factor V
Factor VIII

Question 11

Cryoprecipitate contains?

Answer 11

Fibrinogen
von Willibrand Factor
Factor VIII

Question 12

Tense or hypertonic uterus w/ fetal distress.

Risk factors for this?

Answer 12

Placental abruption (+ bleeding + pain)

• Smoking
• Cocaine
• HTN

Question 13

Five things Smoking increases the risk for in pregnancy:

Answer 13

Abruption
Previa
IUFGR
Pre-Eclampsia
Infection

Question 14

What is bloody show?

Answer 14

During pregnancy the cervix is extremely vascular, and with dilation a small amount of bleeding may occur. This bloody show is not of clinical significance and often occurs with normal labor.

Question 15

What is threatened abortion?

Answer 15

1st Trimester

Question 16

Soft vs. Hard Cervical Lesions:

Answer 16

Soft - cervical polyp

Hard - cervical cancer

Question 17

Treat Endometritis w/ abx?

Answer 17

Ampicillin

Gentamicin

Question 18

What is breast engorgement?

Answer 18

An exaggerated response to the lymphatic and venous congestion associated with lactation. Milk “let-down” generally occurs on postpartum day two or three. If the baby is not feeding well, the breast can become engorged, which can cause a low-grade fever.