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obgyn > NYP high yield > Flashcards

NYP high yield Flashcards

1
Q

how often do you need a progress note if in early labor / on miso?

A

q 4 hours

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2
Q

how often do you need a progress note if in active labor / on pitocin?

A

q 2 hours

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3
Q

how to eval for proteinuria?

A

P:C >/= 0.3
24 hr urine >/= 300

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4
Q

severe features of PEC

A
  1. platelets < 100
  2. AST/ALT > 2x ULN
  3. severe / persistent RUQ pain
  4. creatinine > 1.1
  5. pulm edema
  6. new onset HA
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5
Q

when do you need to order PP heparin?

A

always CS, vaginally if active smoker, BMI > 40, age > 40

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6
Q

who should be rounded on PP?

A

all CS, complicated vaginal, all DOCA

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7
Q

c-section meds

A
  1. bicitra 30 mL PO once
  2. tylneol 975 mg PO once
  3. (anes) ancef 2 g IV pre-op
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8
Q

mag dosing for fetal neuro development

A

6 mg (if < 32 wks)

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9
Q

mag dosing for PEC / seizure ppx

A

loading dose 4 mg
maintenance dose 2 mg x 2

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10
Q

cardinal movements of labor

A

engagement, descent, flexion, internal rotation, extension, external rotation, expulsion

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11
Q

cat I tracing

A

baseline 110-160
mod variability
no late or variable
+/- early / accels

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12
Q

cat III tracing

A

absent variability + recurrent late OR recurrent variables OR brady
sinusoidal

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13
Q

gestational thrombocytopenia

A

platelets < 150

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14
Q

1st trimester weeks

A

1-12

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15
Q

2nd trimester weeks

A

13-27

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16
Q

3rd trimester weeks

A

28-40

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17
Q

delivery timing for PEC w/ SF’s before viability

A

after maternal stabilization

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18
Q

delivery timing for unstable / complicated PEC w/ SF’s (including superimposed / HELLP)

A

after maternal stabilization

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19
Q

delivery timing for gHTN w/ severe range BP’s

A

34 wks

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20
Q

delivery timing for stable PEC w/ SF’s

A

34 wks

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21
Q

delivery timing for difficult to control cHTN with frequent med adjustments

A

36 wks

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22
Q

delivery timing for cHTN controlled on meds

A

37 wks

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23
Q

delivery timing for gHTN w/o severe range BP’s

A

37 wks

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24
Q

delivery timing for PEC w/o SF’s (including superimposed PEC w/o SF’s)

A

37 wks

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25
Q

delivery timing for cHTN controlled without meds / with lifestyle change

A

38 wks

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26
Q

superimposed PEC

A

worsening HTN / proteinuria with prior HTN, asymptomatic with normal labs

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27
Q

when is rhogam given?

A

type negative at 28 weeks, bleeding / trauma, PP if baby type positive

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28
Q

how long until arrest of dilation

A

ruptured membranes, 6 hours active labor without cervical change OR 4 hours with ‘adequate’ contractions

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29
Q

what is an adequate contraction

A

180-200 MVU q 10 min
(measured via IUPC)

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30
Q

what is considered a failed induction

A

persistence of latent labor after 24 hrs pit / 12-24 hrs ruptured and no cervical change

31
Q

AMA age for “elective” but well supported timing for induction at 39 wks

A

35-39 yo

32
Q

AMA age for medically recommended induction at 39 weeks

A

40+ yo

33
Q

c/i’s to cook balloon

A

ruptured membranes, polyhydramnios, multifetal gestation

34
Q

at what size (g) is CS recommended for suspected LGA in a mom WITH DM

A

4500 g

35
Q

at what size (g) is CS recommended for suspected LGA in a mom WITHOUT DM

A

5000 g

36
Q

PP mag dosing for PEC

A

4 mg loading
2 mg maintenance

37
Q

gestational age that nifedipine is used for tocolysis

A

> 32w0d and </= 34w0d

38
Q

when are tocolytics discontinued for PTL

A

48 hrs after 1st dose of ACS

39
Q

nifedipine tocolytic dosing

A

20 mg PO loading
10 mg q 4-6 hrs prn

40
Q

fibrinogen levels indicating placental abruption

A

</= 200

41
Q

fibrinogen levels indicating absence of placental abruption

A

> /= 400

42
Q

weeks considered PPROM

A

< 34w0d

43
Q

latency abx

A
  1. azithro 1 g PO x 1 dose
  2. ampicillin 2 g IV q 6 hrs x 48 hrs
  3. amoxicillin 875 mg PO q 12 hrs x 5 days
    OR amoxicillin 500 mg PO q 8 hrs x 5 days
44
Q

dose of ACS (betamethasone)

A

12 mg IM x 2 doses q 24 hrs

45
Q

when is mag used for fetal neuro protection

A

< 32 wks

46
Q

oligo MVP

A

< 2x2

47
Q

oligo AFI

A

< 5

48
Q

pitocin dosing

A

start at 2 mu/min
increase by 2 mu/min q 30 min
max 40 mu/min

goal: cxs q 2 min

49
Q

pitocin dosing if TOLAC

A

start at 1 mu/min
increase by 1 mu/min q 30 min

50
Q

PV miso dosing

A

25 micro g q 4 hrs x 3 doses

51
Q

how long after PV miso can you start pit

A

4 hrs

52
Q

PO miso dosing

A

25 micro g q 2 hrs x 6 doses

53
Q

how long after PO miso can you start pit

A

2 hrs

54
Q

cx cut off for miso

A

3+ cxs per 10 min

55
Q

terbutaline dosing

A

0.25 mg SC

56
Q

what is a significant variable decel

A

> 60 sec
/= 60 below baseline
</= 60 bpm

57
Q

gain or loss of 1 unit of blood / 250 cc will change H/H by how much

A

Hgb 1, Hct 3

58
Q

500 g = x lb x oz

A

1 lb 1 oz

59
Q

bhcg level that will show something on TVUS

A

1500

60
Q

bhcg level that will show something on TAUS

A

2000

61
Q

what determines IUP on sono

A

gs + ys/fp

62
Q

types of retractors (3)

A

bladder blade
richardson
loop

63
Q

types of scissors

A

metz (thin)
straight / suture
bandage
curved mayo (thick)

64
Q

types of forceps

A

with and without teeth
adson
russian

65
Q

difference between metz & mayo scissors

A

metz = thin
mayo = thick

66
Q

characteristics of adson forceps

A

small and fine

67
Q

hemostats aka

A

snaps

68
Q

malleable aka

A

ribbon

69
Q

kelly vs kocher

A

kelly = curved
kocher = straight

70
Q

instrument that is square shaped with teeth

A

alice

71
Q

instrument similar to alice but used for tubal

A

babcock

72
Q

average urine output

A

0.5-1 cc / kg / hr

73
Q

BPP components

A
  1. NST - 15 bpm x 15 sec
  2. breathing 30+ sec
  3. movement x 3
  4. tone x 1 (flexion/extension)
  5. fluid - mvp 2x2+, afi 5+

obgyn (3 decks)

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