OB Complications
What is the definition of a PPH?
Blood loss of 1L within 24 hours of delivery
Contraindications to the misoprostol
prior cesarean
Definition of a variable deceleration
Abrupt deceleration of FH of more than 15 bpm and lasting 15s or more
Contraindication to Nitrous Oxide?
B12 deficiency
Name a Contraindication to External Cephalic Version
cat 2, oligo, ruptured membranes, previa, multiple gestation
methergine
What MVUs indicate adequate contractions
200 or more in 10min
What is the definition of a late deceleration
What does your patient need to be able to use Nitrous
Ability to self-administer
Name 2 presentations that can't be born vaginally
Which uterotonic would you avoid with asthma
hemabate
Name 1 contraindication to fetal scalp electrode
HIV, Hep B/C, preterm
What is a reactive tracing after 32 weeks EGA
Cat 1 tracing w at least 2 accels in 20 mins
close to delivery, respiratory issues
Describe the HELPERR mnemonic
Risks associated with pregnancy after 41w
Risk of PPH, SD, macrosomia, IUFD
What is a positive contraction stress test
Decelerations after more than half of contractions
What type of decels would you consider amnioinfusion and why
Variable decelerations indicate cord compression, increasing fluid may alleviate
What impact does epidural use have on labor
may lengthen labor time
What type of suture would you use for a deep perineal laceration?
2-0 or 3-0 CT
What is the etiology of amniotic fluid embolism
Not fully understood- severe inflammatory response to amniotic fluid
Contraindication to AROM
Malpresentation, placenta previa, vasa previa
What do early decelerations indicate
Head compression
hydrotherapy, massage, doula, movement, music, ...
Name the 4 Teletubbies
Tinky Winky, Dipsy, LaLa, Po