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Flashcards in MTB Obs Deck (21):
0

Rh sensitized mother, what to do?

Serial amniocentesis to measure the fetal bilirubin level.

High bilirubin requires intrauterine transfusion

1

Preeclampsia is characterized by...

HTN, proteinuria and oedema

2

Preterm eclampsia, what to do?

Betamethasone
Magnesium sulphate

3

HELLP Syndrome, what is it and what to do?

Complication of preeclampsia.
Hemolysis, elevated liver enzymes, low platelet.
Treatment is the same as eclampsia; magnesium sulphate and hydralazine, (betamethasone)

4

Gestational diabetes treatment

Diet, exercise, then insulin
Never say lose weight

5

IUGR prevention

Quit smoking and immunization

6

Fetal heart rate

N. 110-160
Brady. 160

7

CTG: deceleration types and causes

Early - head compression
Variable - umbilical cord compression
Late - fetal hypoxia

8

Benign contraction without cervix dilation

Braxton-Hicks contraction

9

Protracted cervical dilation etiology

3 Ps
Power, passenger, passage
Cesarian or oxytocin

11

Shoulder dystocia treatment

McRoberts maneuver
Rubin maneuver
Woods maneuver

12

Nagele rule:

LMP- 3 months + 7 days = estimated day of delivery

13

Signs of Pregnancy
Goodell sign,
Telangiectasias/ palmar erythema

softening of the cervix

Small blood vessels/reddening of the palms

14

Quickening is
16 to 20 weeks:

the first time the mother feels fetal movement.

15

Beta-HCG >1500 or
5 weeks =

gestational sac on ultrasound

16

A triple screen includes

maternal serum alpha fetoprotein (MSAFP), beta- HCG, and estriol.

17

Chorionic Villus Sampling

• Done at 10 to 13 weeks in advanced maternal age or known genetic dis- ease in parent

18

Amniocentesis

• Done after 11 to 14 weeks for advanced maternal age or known genetic dis- ease in parent

19

Preterm fetuses without chorioamnionitis should be treated with

betametha- sone (to mature the lungs), tocolytics (to decrease contractions), ampicillin, and 1 dose of azithromycin (to decrease risk of developing chorioamnionitis while waiting for steroids to begin working).

20

Rh incompatibility occurs when

the mother is Rh negative and the baby is Rh positive. This is generally not a problem in the first pregnancy, as the mother has not developed antibodies to the "foreign" Rh positive blood yet.

21

Pregnancy HTN

Treat the patient with methyldopa, labetalol, or nifedipine.