Y2 random

Question 1

Analgesia for perineal repair, what do you use?

Answer 1

If no epidural or epidural ineffective, use regional anaesthetic to numb the perineum
Infiltrate the perineum using 20ml 1% Lidocaine
Use nitrous oxide (Entonox) inhalation to facilitate infiltration

Following procedure non-steroidal P.O. suppository eg Diclofenac 100mg

Question 2

What are the risk of cord prolapse in a breech birth?

Answer 2

1:100

Question 3

Should you routinely take cord Ph after a breech birth?

Answer 3

Yes always

Question 4

Why is it even more important to be hands off when catching a breech baby?

Answer 4

To avoid anteflexion of the head, be careful if you have to be hands on as handling soft parts could mean rupturing liver etc..

Question 5

What is Valproate used for and is it safe in pregnancy?

Answer 5

It is used as epileptic and bipolar medication, strongly advised not to be taken in pregnancy as it can lead to congenital deformations in the fetus.

Question 6

What SSRIs is an alternative to Doxepin for breast feeding women?

Answer 6

Sertraline

Question 7

What should all childbearing women who are on antiepileptic medication be prescribed pre-conception until the end of the first trimester?

Answer 7

5mg folic acid to minimise risk of neural tube defects.

Question 8

Women who take anti-psychotics should be?

Answer 8

Monitored for fetal growth with serial scans.

Question 9

What medication is used for HIV?

Answer 9

ART ( anti retroviral therapy)