Day 15 - Ob4 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 15 - Ob4 Quiz > Flashcards

Flashcards in Day 15 - Ob4 Quiz Deck (13):
1

Mgt breech presentation > 36 wks GA

Offer external cephalic version

2

Definition of postpartum hemorrhage

Loss of at least 500 mL w/ vaginal; Loss at least 1 L w/ C-section

3

Tx woman not wish to breastfeed after pregnancy

Ice packs, tight fitting bras, avoidance of nipple stimulation, analgesia; OCPs, bromocriptine

4

Postpartum female p/w pain and tenderness of breasts, limited to one region, no redness or warmth

Galactocele

5

When can OCPs be administered in postpartum pts who do not wish to breastfeed

Wait at least 6 wks before OCPs (Risk of DVT)

6

Within immediate postpartum, pt develops sudden onset hypoxia, cardiogenic shock, DIC

Amniotic fluid emobolism (during labor or immediate postpartum, within 48 hrs of labor)

7

Pt loses more than 500 cc postpartum of blood & now has anemia, attempts at breastfeeding unsuccessful, as it appears she's unable to generate any milk

Sheehan's syndrome (pituitary infarction, absence of prolactin)

8

Meds used to control postpartum hemorrhage

Uterine massage; Oxytocin; Methergine (ergot), Hemabate (carbaprost tromethamine?, prostaglandin F2alpha); Surgical options

9

Definition of prolonged latent phase

Labor not progress to active phase after 20 hrs in nulliparous; or after 14 hrs in multiparous

10

Definition of prolonged active phase

Active phase > 12 hr; Nulliparous not dilating by 1.2 cm per hr, Multiparous pt not dilating by > 1.5 cm per hr

11

Tx prolonged latent or active phase

3 P's (passage, passenger, power?) - Augment power; If still not working, C-section

12

Definition of arrest of descent

Epidural: Multip should not take longer than 2 hr in stage 2, Primip not take longer than 3 hr in stage 2; 1 hr less for ea w/ general (i.e., no epidural)

13

First steps mgt in fetal hyperstimulation or non-reassuring fetal heart tones

Maternal O2; Remove uterine stimulating (oxytocin or dinoprostone=cervadil); Left lateral decubitus; Increase monitoring (fetal scalp electrode, IUPC)

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