Obstets Flashcards
Paragard
Non-hormonal IUD
Epulis
“Pregnancy tumor” of the mouth
PUPP
Pruritic urticarial papules and plaques of pregnancy
etonogestrel
Progesterone in implant
How long can paragard stay in place for?
10 yrs
How long after event can emergency contraception be taken?
5 days
When should quickening occur?
18-20 wks
DOC to induce uterine contractions for spontaneous abortion
Misoprostol
prostaglandin analog
Tocolytics generally not used past which week gestation?
34
DOC to delay labor from 24 - 32 wks
Indomethican
2nd line therapy to stop labor
Nifedipine
DOC at 32 - 34 wks to stop labor
Nifedipine
2nd line for preterm labor btw 34 and 34 wks
Beta andregenic receptor agonist (Terbutaline)
3rd line to prevent preterm labor
Magnesium sulfate
Preferred steroid for fetal development
Betamethasone is prefered
or
Non-sulfite dex
Prolonged rupture of membranes for >18 hrs =
B strep tx
Should abx be given to B-strep+ mothers if undergoing c-section?
No, unless membranes rupture
B strep prophylaxis meds
PCN G or Ampicillin or if allergic Ancef or if anaphylactic Clincamycin
Abx prophylaxis for premature membrane rupture
1g azithro upon admission then ampicillin 2g IV then Amoxacillin PO
uterotonic DOC for bleeding
Oxytocin
Oxytocin dosage
40 units in 1L saline
10-40 ml/m
Should respond in 1 m if IV
Order of drug administration of postpartum hemorrhage
Oxytocin then
Misoprostol then
Methyrogonovine
Carboprost tromethamine (hemabate)
Severe HTN during labor drug
IV lebatalol
or Hydralazine
or Nifedipine
Seizure prophylaxis
Mag sulfate
What treats magnesium toxicity?
Calcium gluconate
Preferred laxative in pregnancy
Bulk forming - not absorbed
Metamucil
2nd line laxatives for refractory cases
Dulcolax
MOM
GERD tx in order
Lifestyle mod Antacids Sucralafate Zantac (H2) Prevacid (PPI)
DOC for maternal pain and fever
Tylenol
NSAIDS and pregnancy
Don’t use, especially after 30 wks
preg cough suppressant
Mucinex (C)
Robitussin (C)
Rhinorrhea tx
Ipatropium bormie
Which days of the cycle are women most fertile?
btw 11 and 21
How long does it take to start ovulating after stopping the pill?
2 wks
Medical mgmt of stable ectopic pregnancy
Methotrexate
Snowy uterus
Hydatidiform mole
Abdominal pain, contraction and bleeding =
Placental abruption
Retroplacental hematoma =
Placental abruption
Which vitamin can tx hyperemesis?
B6
then
Promethazine or zofran
HTN tx for mild preeclampsia
Hydralazine or
Methyldopa
and
ASA
HTN, RUQ tenderness, abnormal liver enzymes =
HELLP
if fFN in present in 2nd or 3rd tri what does it indicate?
High risk of pre-term labor
Group B strep screening occurs when?
35-37 wks
Meds to deliver placenta
IV Nitro
Umbillican pitocin