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Flashcards in Exam 2 OB complications Deck (88)
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1

Low Birth wt is

<2500g

2

Very Low BW is

<1500g

3

Extremely low BW is

<1000g

4

Micropreemie is

<750g

5

OB factors associated with preterm labor

Vaginal bleeding
Infection (systemic, genital tract, periodontal)
Short cervical length
Multiple gestation
Assisted reproductive techniques
Preterm premature rupture of membranes
Polyhydramnios

6

Preterm delivery due to (3 things)

Preterm Premature Rupture of Membranes
Spontaneous preterm labor
Maternal/Fetal indications for delivery

7

Discuss Terbutaline Tx for preterm labor

Terbutaline- B-adrenergic agonist
Tocolytic therapy
B1 AND B2 stimulation- smooth muscle relaxation (uterus)(B1) and increased HR (B2)
Side effects- Hypotension, tachycardia, pulmonary edema, hyperglycemia, hypokalemia
*avoid with agents that inc HR
*Will cause SUX to have decreased onset

8

Discuss Mag Sulfate Tx for preterm labor

Se- Hypotension, Potentiates all NMBs, decrease dose and don't use defasciculating dose

9

What is the portion of the fetus over the pelvic inlet

presentation
(Cephalic, Breech, and Shoulder)

10

Vertex, brow or face is what presentation?

Cephalic

11

What is the alignment of fetal spine with maternal spine?

Lie
(longitudinal or traverse)

12

Breech or vertex have a ____ lie.

Longitudinal

13

The relationship of special fetal bony point to maternal pelvis is

Position

14

Sacrum is position

Breech

15

Occiput is position

Vertex

16

Mentum is position

Face

17

Acromion is position

Shoulder

18

Complete breech

Hips flexed at hip and knees

19

Incomplete breech

1 or both legs are extended at the hip

20

Frank breech

lower ext are flexed at the hip, extended at the knee

21

Anesthesia for Breech delivery- NA considerations

May need more dense anesthesia for vaginal or C-Sec- 3% 2-chloroprocain or 2% lidocaine with epi and bicarb

22

What is the worse fear with breech delivery

Fetal head entrapment

23

Monozygotic twins chorion and amnion
1-2days
3-8 days
8-13 days

1-2 DD
3-8 MD
8-13 MM

24

Multiple gestation will have _____% increase in CO (SV increases ____% and HR increases _____%

CO increases 20% (SV increases 15%, HR increases 3.5%) with multiple gestation

25

Hypoxemia occurs more rapidly with multiple gestation b/c

Decreased FRC and Increased Maternal Metabolic Rate

26

Plasma volume increases and additional _____ml with multiple gestation

750ml

27

Use full lateral position with multiple gestation d/t greater risk for

aortocaval compression and supine hypotensive syndrom

28

Gestational HTN is

Increased BP after 20 weeks gestation without proteinuria

29

Preeclampsia is

New onset HTN and proteinuria after 20 weeks gestation

30

If no proteinuria with HTN after 20 weeks gestation, which other Sx would make you consider preeclampsia?

Persistent epigastric or RUQ pain
Persistent cerebral symptoms
Fetal Growth restriction
Thrombocytopenia
Elevated Liver Enzymes