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Flashcards in ACE Review - OB Deck (191)
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1

Risk factors for PDPH

Age 20-40,female,spinals, cutting needles.

2

Highest risk factor for PDPH

Age

3

When should non ob surgery be done for obstetrics pt.

Recommended to be done after pregnancy, but if required to be dine, then in the second trimester.

4

Why is the second term the best time for pregnant patients who cannot postpone past pregnancy

Avoids the spontaneous abortions of first trimester and the premature contractions of the third trimester

5

If a fetus is previable, how do you monitor intraop

A pre and post op Doppler of fetal heart rate

6

If a fetus is viable, how do you monitor intraop

A pre and post fetal heart monitor and contraction monitor pre and post.

7

What was the concern of diazepam/ bentos in a past retrospective study on teratogenesis

Cleft palate

8

What is the concern about using nitrous oxide in obstetric patients.

It inhibits methionine synthase activity involved in DNA synth

9

does nitrous oxide decrease uterine tone

no

10

do anesthetic gases decrease uterine tone

yes

11

does epidural medication provide uterine relaxation

no

12

a pt w/ retained placenta. Bp and hr stable…what can help to give uterine relaxation.

intravenous nitrous 50-100mcg

13

what other uterine relaxants can you use

magnesium or terbutaline

14

what sensory level do you need to have for analgesia of retained placenta removal proceedure

at least t10

15

what happens to intestinal motility during pregnancy

drecrease motility

16

what happens to LES during pregnancy

decrease LES

17

what happens to gastric volume during pregnancy

increased

18

when dose gastric emptying during pregnancy get delayed

not until the onset of labor

19

does decrase intestinal motility only occur after the onset of labor like gastric emptying

no it starts right at the first trimester

20

what is the onset and end of first stage of labor

onset is dilation of cervix, end of first stage is full cervix dilation

21

what nerve fibers is the pain of first stage of labor

t10 to l1

22

what causes the pain during first stage of labor

cervix dilation

23

how do you know first stage of labor pain is not cause by uterine fundus contraction and actually cervix dilation

during labor, nerve fibers to uterine fundus is decreased

24

is pain of the first stage of labor somatic or visceral

visceral

25

what is the onset of second stage of labor,

when the fetus engages the vagina

26

what is the cause of second stage pain

vagina and perinium

27

what is the second stage nerve for pain

pudendal

28

what is the nerve source of pudendal

s2-s4

29

what kind of pain is second stage pain

somatic takes over the visceral pain of stage 2

30

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