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13 Cards in this Set
- Front
- Back
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HYQ: what is the definition of PROM?
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Rupture of membranes before the onset of labor
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HYQ: when should you suspect chorioamnionitis in a pt with PROM?
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Fever + one of the following
maternal tachy (>100) fetal tachy (>160) maternal leukocytosis (>15k) uterine tenderness or foul smell |
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HYQ: at what gestational age is labor managed actively instead of expectantly in preterm labor?
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after 34 wks
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HYQ: what are the risk factors for placental abruption?
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Trauma, HTN, Cocaine, Prior ab
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What drugs can be used for tocolysis?
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Terbutyline
Nifedipine Mag sulfate Indomethacin |
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What is the reversal agent in cases of mag tox?
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Calcium gluconate
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Compare the tx of preterm labor at 33 wks to 34wks
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34: give tocolytics to stop contractions, give steroids to ripen lungs, give Amp + Gent
37 wks: give amp + gent |
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What are the components of a BPP in the assessment of fetal well being?
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Tone, breathing, movement
Non-stress test AFI |
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Compare the appearance and etiology of early, late, and variable decelerations during contraction stress testing.
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Early - begin before contractions, a/w head compression
Late - begin after contractions, a/w uteroplacental insuficiency Variable- occur variably, a/w umbilical cord compression |
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What is the definition of oligohydramnios? Polyhydramnios?
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oligo = AFI<5
poly = AFI >25 |
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What are the classic signs and symptoms of mag tox?
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Hyporeflexia, resp depression --> pleural effusion, cardiac arrest
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What tests are used to confirm rupture of membranes?
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pooling on sterile vaginal exam
Nitro blue test Fern test |
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What is typically included in an infertility workup?
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semen analysis
histosalpingogram eval of annovulatory cycles |
