Risky OB Flashcards

1
Q

What is the best treatment for intervted uterus?

A

uterine relaxation with halothane

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2
Q

What do you do if the placenta does not deliver within 30 minutes?

A

attempt manual extraction

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3
Q

What is the definition of preeclampsia?

A

hypertension and protenuria after 20 weeks gestation

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4
Q

What are some of the most common symptoms of preeclampsia?

A

headache, visual disturbances, RUQ pain

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5
Q

How is preeclampsia managed?

A

delivery, seizure prophyaxis (Mg)

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6
Q

What is eclampsia

A

seizures or coma in a patient with preeclampsia

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7
Q

How is hypertension managed in pregnancy in the short term? In the long term?

A

short term: hydralazine, labetolol

long term: methyldopa, nifedipine

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8
Q

What are the risks associated with gestational diabetes?

A

higher risk of gestational diabetes, higher risk of infections, higher rate of C section, higher risk of polyhydramnios and birth injury

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9
Q

What CNS anomaly is most specific for DM?

A

caudal regression

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10
Q

What are the classifications for gestational diabetes?

A

A1 - managed with diet. wait for delivery

A2 - managed with insulin - at delivery, consider amnio for fetal lung maturity etc.

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11
Q

What are the ways to manage shoulder dystocia?

A
Help
Epsiotomy
Legs up (roberts position)
Pressure superpubically
Enter vagina
reach for posterior arm
Rupture clavicle
Return head for C section
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12
Q

What are the risk factors for placental abruption?

A

previous history of abruption, smoking, cocaine use, high parity

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13
Q

What is the difference in presentation between placental abruption and placenta previa?

A

placenta previa = painless bleeding

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14
Q

What is the number one risk factor for velamentous cord insertion?

A

multiparity (risk increases substantially for twins, triplets

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15
Q

What increases the risk of uterine rupture in TOLAC?

A

if classic or tranverse

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16
Q

US reveals that the baby is lying transversely. What are you suspicious of?

A

placenta previa

17
Q

What are the causes of post partum hemorrhage?

A
coagulation defect
atony of uterus
rupture of uterus
placenta retained
implantation site bleeding
trauma to GU tract
18
Q

How do you mange uterus atony?

A

dilute oxytocin

19
Q

What are the risk factors for placenta previa?

A

prior C section, multiparity, multiple gestation, advanced maternal age

20
Q

What are the risk factors for shoulder dystocia?

A

gestational diabetes, multiparity,

21
Q

What is the MacRoberts procedure?

A

flexion of maternal thighs and suprapubic pressure