OBGYN wWise 3 Flashcards
How detect chorioamnionitis?
Glucose < 20
IL-6 should be increased
How prevent PPROM?
17a-hydroxyprogesterone
- admin weekly from 16-36 weeks
SROM 36 hours ago, at 36 weeks.
- next step?
Augment labor
- concern for chorioamnionitis
2 causes fetal tachycardia?
-
-
Maternal fever
Chorioamnionitis
Amnioinfusion is used for what?
Repetitive variable decelerations
Terbutaline
Beta2 agonist
- slow contractions
- not for pt’s w/ tachycardia
Fetal head compression causes?
Early decelerations
What causes loss of variability?
Maternal drugs
What can cause fetal bradycardia?
Uterine hyperstimulation
FFP contains?
Fibrinogen
Factor V
Factor VIII
Cryoprecipitate contains?
Fibrinogen
von Willibrand Factor
Factor VIII
Tense or hypertonic uterus w/ fetal distress.
Risk factors for this?
Placental abruption (+ bleeding + pain)
- Smoking
- Cocaine
- HTN
Five things Smoking increases the risk for in pregnancy:
Abruption Previa IUFGR Pre-Eclampsia Infection
What is bloody show?
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.
What is threatened abortion?
1st Trimester
Soft vs. Hard Cervical Lesions:
Soft - cervical polyp
Hard - cervical cancer
Treat Endometritis w/ abx?
Ampicillin
Gentamicin
What is breast engorgement?
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.
