Obstetric

Question 1

Why should deep pharyngeal suction be avoided in babies?

Answer 1

Can cause bradycardia and laryngospasm.

Question 2

How should air entry be checked in babies?

Answer 2

By chest movement; breath sounds might be heard in fluid-filled lungs by auscultation without lung inflation and should not be used.

Question 3

How should aeration breaths be given?

Answer 3

5 breaths sustained over 2 to 3 seconds using 500ml BVM. Chest may not move for first 1-3 breaths as fluid is displaced. After 5 breaths reassess CTBH. A further 5 aeration breaths might be required.

Question 4

What rate are ventilations continued at after successful aeration breaths?

Answer 4

30-40 min.

Question 5

When must chest compressions be started in babies?

Answer 5

If HR remains below 60 bpm.

Question 6

How should chest compressions be applied with neonate so?

Answer 6

Ration of 3 compression to one breath. One third of depth of chest. Encircle chest with hands and compress with thumbs just below inter-nipple line.

Question 7

When do the most suicides occur during pregnancy?

Answer 7

4 out of 5 between 34 and 40 weeks.

Question 8

How does pregnancy affect rate of venous thromboembolism?

Answer 8

10 times more common.

Question 9

What is the maximum suction to be used with babies?

Answer 9

100 mm Hg

Question 10

What are the parameters for maternal and severe hypertension?

Answer 10

140/90

Severe
Sys over 160 dys 100