Term
what is the treatment of Preclampsia:
If term
If preterm
If severe
for seizure |
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Definition
If term deliver
If preterm- Betamethasone
If Sev Hydralazine
Give Betamethasone for seizure prophylaxis/prevention |
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Term
What is HELLP syndrome?
What is the test?
What is a positive test? |
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Definition
Hemolysis, elevated liver enzymes and low platelets.
24-28 weeks
Glucose load test with 50g waiting 1 hour.
>140
What is |
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Term
What is the next test after a 50mgGlucose tolerance test at 1 hour is positive?
What is the treatment? x3 |
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Definition
Glucose tolerance test of 100mg at 1,2,3 hours
elevated confirms diabetes
Change Diet and excersise
If still uncontroled give insulin
If refuse insulin give metformin and glyburide |
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Term
what is a reactive NST? x4
what is done next in a nonreactive Nonstress test?
then what? |
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Definition
acceleration of FHr greater than
>15 bpm lasting
15-20seconds
over a 20 minute pereiod
and 2 fetal movments
Vibroacoustic stimulation
Biophysical Profile |
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Term
What weight in grams would cesarean indicated in MacroSomnia?
what is in a Biophysical profile? |
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Definition
4,500
1. NST
2. Fetal chest expansions >1 episode in 30 min
3. Fetal movement: >3 in 30 min
4. Fetal muscle tone
5. Amniotic fluid index |
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Term
What is considered normal, inconclusive and abnormal on a Biophysical Profile(BPP)
what is normal fetal HR |
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Definition
8-10 normal
4-8 inconclusive
0-4 abnormal
110-160bpm |
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Term
| What are the distiguishing factors of the 3 types of Decelerations? and what does each one mean? |
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Definition
Early- with contractions- head compression
Variable- No relationship to contractions- Umbilical cord compression
Late- after contractions- Fetal hypoxia |
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Term
What is is Lightening?
What is the 8 fetal moments in delivery? |
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Definition
1. Engangment
2. Descent
3. flexation
4. Internal Rotation
5. Extention
6. External Rotation
7. delivery of anterior Shoulder
8. Delivery of Posterior Shoulder |
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Term
| What are the four signs of separation of the placenta in the third stage of delivery? |
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Definition
Fresh bleeding from vagina
Umb Cord lengthening
Uterine fundus rising
Uterus becomeing firm |
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Term
What medication/Procedures Induce labor?x3
What is considered prolonged latent stage? x2 |
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Definition
Prostoglandin E2
Oxytocin
Anmiotomy
Latent phase longer than:
20hours for primipara
14 hours for mulitpara |
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Term
What are the three types of problems for Prolonged latent phase?
What is the treatment |
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Definition
Power- contractions - oxytocin
Passenger- size( ceasarian)
and position (excternal cephaliic version)
Passage - cephalopelvic disproportion - cesarean delevery |
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Term
Describe a
Frank breech
Complete Breech
Footing breech |
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Definition
F- flexed hips extended knees (foot in face)
C- Hips and knees are flexed (feet waist)
F- feet first (feet below buttocks) |
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Term
What is the:
McRoberts maneuver
Rubin Maneuver
Woods Maneuver |
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Definition
R- is flexing knees into abd and suprapubic pressure
2. Rubin Maneuver- Push post shoulder torward head
3. Woods- Rotation of fetus shoulders by pushing the post shoulder torward back |
|
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Term
| what is a Zavanelli maneuver and when is it done? |
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Definition
Push fetal head back into uterus and perform c section
done in Shoulder dystocia |
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Term
What is the mathmatical definition of postpartum bleeding?
What is early v late postpartum bleeding
what is the cause (80%) of P...H..? |
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Definition
Bleeding more than 500ml
early before 24hrs
late after 24hrs-6wks
Uterine Atony |
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Term
| What is the treatment of Post partum hemorrhage? |
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Definition
assure there is not rupture of uterus
Bimanual compression and massage
admin oxytocin if massage is not effective |
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