OnlineMedEd: Obstetrics - "L and D Path"

Question 1

A pregnancy that goes longer than 42 weeks is considered _____________.

Answer 1

post dates or post term

Question 2

The time from ROM to the delivery of the placenta should not exceed ______ hours.

Answer 2

18

Question 3

The paper turns __________ in a positive nitralazine test.

Answer 3

blue (because amniotic fluid is alkaline)

Question 4

In general, it’s thought that ___________ is the cause of PROM.

Answer 4

infection

Though many things could cause it.

Question 5

How should you decide what to do in PPROM?

Answer 5

Note the gestational age: if it is less than 24 weeks or greater than 34 weeks, then deliver. If it is in between, then give betamethasone and wait to induce labor.

Question 6

In a pregnant woman with ROM, you should give ____________ if she is GBS positive or her GBS status is unknown.

Answer 6

ampicillin

Question 7

The main difference between __________ and _________ is whether the baby has been delivered.

Answer 7

endometritis; chorioamnionitis

Question 8

You should give what three agents to a woman with endometritis/chorioamnionitis?

Answer 8

• Ampicillin
• Clindamycin
• Gentamicin

Question 9

List five common causes of preterm labor.

Answer 9

• Smoking
• Young mom
• Multiple gestations
• Uterine anomalies
• PPROM

Question 10

Labor is defined as ____________.

Answer 10

contractions with cervical change

Question 11

Why are post dates pregnancies bad?

Answer 11

They lead to macrosomia which raises risk of shoulder dystocia.