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Flashcards in U-Wise 2 Deck (82)
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1

IUPC measures?

If contractions are adequate

2

What makes a good acceleration

More than 15 bpm lasting more than 15 seconds

3

Prolonged fetal tachycardia seen with

Maternal fever or chorioamnionitis

4

Variable deceleration shape

Rapid fall and variable upslope

5

Initial measurement to treat fetal hypoperfusion

Move patient to left lateral decubitus position, discontinue tocolytics, fluids

6

Why no methylgonovine in pt's with pre-eclampsia or HTN

Vasodilator, can cause bleeding

7

Who can't get Prostaglandin F2

Asthmatics, has a bronchoconstrictive effect

8

Low lying placenta w/ hx of c-section worry

Placenta accreta

9

Risks for retained placenta

Prior C section
Uterine leiomyomas
Prior uterine curettage
Succenturiate lobe of placenta

10

How is oxytocin administered to prevent uterine atony

Rapid infusion of a dilute solution (20-80 units)
*Not an IV push*

11

Suture to prevent uterine atony in surgery

B-lynch suture (uterine compression suture)

12

Complications of epidural

Spinal headache, localized back pain, and meningitis

13

Gentamicin gets what kind of bugs

Gram negs

14

Erythromycin good for

URIs

15

What increases risk of UTI post delivery

Indwelling catheter

16

What causes breast engorgement

Exaggerated response to lymphatic and venous congestion associated with lactation

17

Post partum fever spikes and normal exam, suspect?

Septic pelvic thromboembolus

18

First step in fever day 1 post c section

Chest xray (atelectasis)

19

What does preg class C mean

Animal studies have shown hard but no human studies have been done

20

Hx of psychiatric illness risk factor for

Post-partum depression (up to 1/3 of patients report a problem)

21

Most common SSRI adverse effect

Insomnia

22

SSRIs in breastfeeding

OK, is in breast milk but no detectable levels in infant

23

AE of SSRIs in 3rd trimester use

Agitation and poor feeding of newborn

24

When are symptoms of PMDD found

In luteal phase, absent in beginning of follicular phase

25

Post-partum pyschosis feature

Visual or auditory hallucinations

26

Tests to do in post term patients

NST and assessment of amniotic fluid volume

27

Post term pregnancies associated with

Placental sulfatase def, fetal adrenal HYPOplasia, anencephaly

28

Dx of post-term pregnancy based on

Establishment of an accurate gestational age

29

Amnioinfusion for

Repetitive variable decelerations

30

What do fetal dysmaturity babies look like

Withered, meconium stained, long nailed and fragile
Associated small placenta