Obstets Flashcards
(44 cards)
Paragard
Non-hormonal IUD
Epulis
“Pregnancy tumor” of the mouth
PUPP
Pruritic urticarial papules and plaques of pregnancy
etonogestrel
Progesterone in implant
How long can paragard stay in place for?
10 yrs
How long after event can emergency contraception be taken?
5 days
When should quickening occur?
18-20 wks
DOC to induce uterine contractions for spontaneous abortion
Misoprostol
prostaglandin analog
Tocolytics generally not used past which week gestation?
34
DOC to delay labor from 24 - 32 wks
Indomethican
2nd line therapy to stop labor
Nifedipine
DOC at 32 - 34 wks to stop labor
Nifedipine
2nd line for preterm labor btw 34 and 34 wks
Beta andregenic receptor agonist (Terbutaline)
3rd line to prevent preterm labor
Magnesium sulfate
Preferred steroid for fetal development
Betamethasone is prefered
or
Non-sulfite dex
Prolonged rupture of membranes for >18 hrs =
B strep tx
Should abx be given to B-strep+ mothers if undergoing c-section?
No, unless membranes rupture
B strep prophylaxis meds
PCN G or Ampicillin or if allergic Ancef or if anaphylactic Clincamycin
Abx prophylaxis for premature membrane rupture
1g azithro upon admission then ampicillin 2g IV then Amoxacillin PO
uterotonic DOC for bleeding
Oxytocin
Oxytocin dosage
40 units in 1L saline
10-40 ml/m
Should respond in 1 m if IV
Order of drug administration of postpartum hemorrhage
Oxytocin then
Misoprostol then
Methyrogonovine
Carboprost tromethamine (hemabate)
Severe HTN during labor drug
IV lebatalol
or Hydralazine
or Nifedipine
Seizure prophylaxis
Mag sulfate