That Was Abrupt
The definitive treatment for unstable placental abruption >20 weeks gestation age
What is delivery?
This specific type of physical exam maneuver can diagnose pre labor rupture of membranes
What is a sterile speculum exam?
The most common cause of postpartum hemorrhage
What is uterine atony?
This procedure is last resort for a nuchal cord that is unable to be reduced
What is clamping cord in 2 places and cutting it?
In maternal cardiac arrest, guidelines recommend resuscitative hysterotomy within this time frame if ROSC is not achieved
What is 4 minutes?
The test that can evaluate the degree of transplacental hemorrhage
What is the Kleihauer-Betke test?
The most significant maternal risk from pre labor rupture of membranes
What is intrauterine infection?
Massive postpartum hemorrhage can lead to this endocrine complication characterized by lactation failure and hypopituitarism
What is Sheehan syndrome?
This maneuver is the first line option to reduce a shoulder dystocia
What is McRoberts?
This is the imaging test of choice for traumatic abdominal injuries in pregnancy
What is a CT scan?
The number of contractions per hour on toco monitoring that is concerning for abruption
What is 8+?
6 per hour during 4 hour obs --> 24 hr monitoring
This test can confirm amniotic vaginal/cervical fluid
What is nitrazine or ferning?
This is the preferred first line medication for treatment of postpartum hemorrhage
In umbilical cord prolapse, this maneuver relieves cord compression until delivery can occur
What is elevating the presenting fetal part?
The change in airway anatomy in pregnancy that can make intubation more challenging
What is airway edema?
Placental abruption can lead to this life-threatening maternal complication caused by release of thrombin from placental tissue
What is DIC?
This antibiotic is first line for Group B Strep prophylaxis
What is Penicillin?
Ampicillin, amp + gent also acceptable
Cefazolin, clindamycin, vancomycin for penicillin allergic
This uterotonic used in postpartum hemorrhage should be avoided in patients with asthma due to risk of bronchospasm
What is carboprost (Hemabate)?
This maneuver can treat uterine atony
What is fundal massage?
A fundal height above this landmark indicates fetal viability
What is the umbilicus?
When this lab value is low, there is a very high positive predictive value of severe postpartum hemorrhage
What is fibrinogen?
This medication should be given for fetal neuroprotection <32 weeks when preterm delivery is anticipated.
What is magnesium?
These two antibiotics are given together as the gold standard for IV postpartum endometritis treatment
What is gentamicin and clindamycin?
This cause of maternal cardiac arrest is unique to pregnancy and presents with sudden cardiovascular collapse and DIC
What is amniotic fluid embolism?
This technique can help minimize aortocaval compression
What is left uterine displacement?