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18 Cards in this Set
- Front
- Back
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how is a breech at 36 weeks managed
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external cephalic eversion
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what potential events must patients considering VBAC be counseled
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uterine rupture
fetal/maternal death |
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what are the symptoms of lacunar stroke
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pure motor hemiparesis
ataxic hemiparesis pure sensory defect sensory motor stroke dysarthria/clumsy hand syndrome |
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classic symptoms of placenta previa
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painless bleeding
during 3rd trimester |
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next step in a patient with 2 consecutive ASCUS pap smears
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colposcopy with endocervical curettage
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what is uterine hyperstimulation
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>5 contractions over 10 minutes with a duration >60 seconds
significant fetal heart rate decelerations |
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contraindications for breast feeding
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HIV
infantile galactosemia tetracyclines chloremphenical topiramate antineoplastic amiodarone |
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Rx for mastitis
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continue nursing
rest and ibuprofen dicloxacillin cephalexin amoxicillin-clavulanate TMP-SMX (MRSA) metronidazole (anaerobes) |
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features of galactocele
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tender
red small mass |
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features of mastitis
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fever
warmth/erythema increased WBC positive culture |
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type of oral contraceptive used in lactating women
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progesterone only
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Rx for woman who does not wish to breastfeed postpartum
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tightly wrapped breasts
analgesic ice packs |
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Rx for uterine atony
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uterine massage
oxytocin methergine (CI in HTN) Hemabate (CI in asthma) surgery -uterine artery ligation -internal iliac artery ligation -selective arterial ligation -hysterectomy |
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features of endometritis
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fever
uterine tenderness foul lochia leukocytosis with left shift |
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Rx for post partum endometritis
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gentamycin and clindamycin
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Dx:
postpartum woman presents with pain and tenderness of the breast that is limited to one region, no redness or warmth |
galactocele
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why do post partum women use progesterone only OCP
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because of the increased risk of DVT
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Dx
immediate post partum period a patient develops sudden onset of hypoxia, cardiogenic shock and DIC |
amniotic fluid embolism
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