NYP high yield

Question 1

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

Answer 1

q 4 hours

Question 2

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

Answer 2

q 2 hours

Question 3

how to eval for proteinuria?

Answer 3

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

Question 4

severe features of PEC

Answer 4

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

Question 5

when do you need to order PP heparin?

Answer 5

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

Question 6

who should be rounded on PP?

Answer 6

all CS, complicated vaginal, all DOCA

Question 7

c-section meds

Answer 7

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

Question 8

mag dosing for fetal neuro development

Answer 8

6 mg (if < 32 wks)

Question 9

mag dosing for PEC / seizure ppx

Answer 9

loading dose 4 mg
maintenance dose 2 mg x 2

Question 10

cardinal movements of labor

Answer 10

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

Question 11

cat I tracing

Answer 11

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

Question 12

cat III tracing

Answer 12

absent variability + recurrent late OR recurrent variables OR brady
sinusoidal

Question 13

gestational thrombocytopenia

Answer 13

platelets < 150

Question 14

1st trimester weeks

Answer 14

1-12

Question 15

2nd trimester weeks

Answer 15

13-27

Question 16

3rd trimester weeks

Answer 16

28-40

Question 17

delivery timing for PEC w/ SF’s before viability

Answer 17

after maternal stabilization

Question 18

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

Answer 18

after maternal stabilization

Question 19

delivery timing for gHTN w/ severe range BP’s

Answer 19

34 wks

Question 20

delivery timing for stable PEC w/ SF’s

Answer 20

34 wks

Question 21

delivery timing for difficult to control cHTN with frequent med adjustments

Answer 21

36 wks

Question 22

delivery timing for cHTN controlled on meds

Answer 22

37 wks

Question 23

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

Answer 23

37 wks

Question 24

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

Answer 24

37 wks

Question 25

delivery timing for cHTN controlled without meds / with lifestyle change

Answer 25

38 wks

Question 26

superimposed PEC

Answer 26

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

Question 27

when is rhogam given?

Answer 27

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

Question 28

how long until arrest of dilation

Answer 28

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

Question 29

what is an adequate contraction

Answer 29

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

Question 30

what is considered a failed induction

Answer 30

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

Question 31

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

Answer 31

35-39 yo

Question 32

AMA age for medically recommended induction at 39 weeks

Answer 32

40+ yo

Question 33

c/i's to cook balloon

Answer 33

ruptured membranes, polyhydramnios, multifetal gestation

Question 34

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

Answer 34

4500 g

Question 35

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

Answer 35

5000 g

Question 36

PP mag dosing for PEC

Answer 36

4 mg loading 2 mg maintenance

Question 37

gestational age that nifedipine is used for tocolysis

Answer 37

> 32w0d and

Question 38

when are tocolytics discontinued for PTL

Answer 38

48 hrs after 1st dose of ACS

Question 39

nifedipine tocolytic dosing

Answer 39

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

Question 40

fibrinogen levels indicating placental abruption

Question 41

fibrinogen levels indicating absence of placental abruption

Answer 41

>/= 400

Question 42

weeks considered PPROM

Answer 42

< 34w0d

Question 43

latency abx

Answer 43

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

Question 44

dose of ACS (betamethasone)

Answer 44

12 mg IM x 2 doses q 24 hrs

Question 45

when is mag used for fetal neuro protection

Answer 45

< 32 wks

Question 46

oligo MVP

Answer 46

< 2x2

Question 47

oligo AFI

Answer 47

< 5

Question 48

pitocin dosing

Answer 48

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

Question 49

pitocin dosing if TOLAC

Answer 49

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

Question 50

PV miso dosing

Answer 50

25 micro g q 4 hrs x 3 doses

Question 51

how long after PV miso can you start pit

Answer 51

4 hrs

Question 52

PO miso dosing

Answer 52

25 micro g q 2 hrs x 6 doses

Question 53

how long after PO miso can you start pit

Answer 53

2 hrs

Question 54

cx cut off for miso

Answer 54

3+ cxs per 10 min

Question 55

terbutaline dosing

Answer 55

0.25 mg SC

Question 56

what is a significant variable decel

Answer 56

> 60 sec >/= 60 below baseline

Question 57

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

Answer 57

Hgb 1, Hct 3

Question 58

500 g = x lb x oz

Answer 58

1 lb 1 oz

Question 59

bhcg level that will show something on TVUS

Answer 59

1500

Question 60

bhcg level that will show something on TAUS

Answer 60

2000

Question 61

what determines IUP on sono

Answer 61

gs + ys/fp

Question 62

types of retractors (3)

Answer 62

bladder blade richardson loop

Question 63

types of scissors

Answer 63

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

Question 64

types of forceps

Answer 64

with and without teeth adson russian

Question 65

difference between metz & mayo scissors

Answer 65

metz = thin mayo = thick

Question 66

characteristics of adson forceps

Answer 66

small and fine

Question 67

hemostats aka

Answer 67

snaps

Question 68

malleable aka

Answer 68

ribbon

Question 69

kelly vs kocher

Answer 69

kelly = curved kocher = straight

Question 70

instrument that is square shaped with teeth

Answer 70

alice

Question 71

instrument similar to alice but used for tubal

Answer 71

babcock

Question 72

average urine output

Answer 72

0.5-1 cc / kg / hr

Question 73

BPP components

Answer 73

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)

• obgyn
• FHR tracings
• NYP high yield