Week 6 - Third Trimester

Question 1

which of the following is false?

• group B strep can be asymptomatic
• there is universal screening of all pregnant women for group B strep
• group B strep causes respiratory distress syndrome in newborn

Answer 1

group B strep DOES NOT cause resp distress in newborn

Question 2

what is the screening recommendation for pregnant women for group B strep?

Answer 2

all pregnant women shall be offered screening for group B strep colonization at 35-37 wks gestation with a culture done from one swab, first to vagina and then to rectal area

Question 3

what is best fetal position for most normal vaginal birth?

Answer 3

cephalic (head first)

Question 4

risk factors for external cephalic version? ECV

Answer 4

umbilical cord entanglement
abruptio placenta
preterm labour
premature rupture of membranes
severe maternal discomfort
emergency C-section
risk of fetal distress

Question 5

most common fetal position?

Answer 5

left occipitoanterior (LOA)
occiput faces anterior and toward left (with mother standing)

Question 6

what homeopathic can help a baby turn between 34-36 wks?

Answer 6

pulsatilla 200CH use daily

Question 7

pre-birth acupuncture can reduce overall rate of induction by?

Answer 7

35%

Question 8

pre-birth acupuncture can reduce epidurals by what %?

Answer 8

31%

Question 9

pre-birth acupuncture can reduce emergency C-sections by what %?

Answer 9

32%

Question 10

pre-birth acupuncture can increase normal vaginal delivery by what %?

Answer 10

9%

Question 11

what would you say to a pt who was 35 wks and wanted to do acu for hemorrhoids?

Answer 11

BL 57
GV 20
points related to TCM picture

Question 12

points for labour induction?

Answer 12

GB21
SP6
KD1
LI4
LV3
ST36

Question 13

homeopathic for irritability?

Answer 13

sepia
work-focused & does not surrender to giving birth
excess exercise
no desire to breastfeed

Question 14

what is pre-eclampsia

Answer 14

HTN & proteinuria or another series of s/s associated with end-organ dysfunction
(seizures, pulmonary edema, placental abruption)

Question 15

typical ss/sxs of gestational HTN?

Answer 15

HA that doesn’t resolve w/pain meds
blurry vision, flashes or spots in vision
stomach pain or vomiting
pain in chest or SOB

Question 16

dose of coQ10 for pre-eclampsia?

Answer 16

200mg

Question 17

HTN / pre-eclampsia: which one do you rest with, which one do you exercise with?

Answer 17

HTN: exercise

pre-eclampsia: rest