Inductions
Highs and Lows
Triage madness!
Interventions
NSVD
100
Which two medicines do we most commonly use for cervical ripening?
What are cervidil (prostaglandin E2) and cytotek (misoprostol, prostaglandin E1)
100
110-160 bpm
What is the normal range of fetal heart rate
100
What can cause a false positive nitrazine test?
blood, semen, soap
100
Which one of these things is the IUPC?
100
How many cm dilated is my candle (+/-) 0.5 cm?
What is 7.5 cm
200
Pitocin is typically started above what Bishop Score
What is six
200
What's happening in this strip? (page 3)
pushing with variable decelerations
200
Name three risk factors for preterm birth
Smoking Low SES Trauma STIs UTIs/pyelo periodontal disease Uterine anomaly multiple gestations Placenta previa Abruption Inadequate prenatal care Substance use
200
Demonstrate how to use an amnihook
200
what's the definition of the second stage of labor?
What is the interval between full cervical dilation and delivery of the infant.
300
What is the definition of tachysystole, and when do you see it most often?
a) >5 contractions in 10 minutes averaged over 30 minutes b) with high doses of oxytocin
300
In a term fetus, what is the definition of an acceleration?
>15 bpm above baseline for >15 seconds
300
A woman comes to triage complaining of decreased fetal movement, NST is non-reactive. 1) what's the definition of decreased fetal movement 2) what can you do to stimulate the baby?
1) The perception of less than 10 FMs over two hours when the mother is at rest and focused on counting 2) vibroacoustic stimulator, have mother drink juice or water.
300
After AROM-ing a patient, always evaluate the amniotic fluid for presence of what?
meconium
300
What position is this? (page 2)
OA
400
Name a more popular "natural" method of labor induction
Nipple stimulation with a breast pump
400
At what gestational age will you normally see accelerations on FHR strips?
26-28w
400
Name three ways to clincally diagnose rupture of membranes.
Pooling in posterior fornix Nitrazine paper turns blue Ferning on slide Positive amnisure Ultrasound Insulin-like growth factor binding protein 1
400
Under what circumstance should you definitely not AROM a patient?
If the head is not well applied/if you're not positive the baby is vertex
400
What is the maximum length of stage 3 of labor (+/- 5 min)
30 min
500
Name two contraindications for an induction of labor
Prior classical uterine incision Prior transmural uterine incision entering the uterine cavity Active genital herpes infection Placenta or vasa previa Umbilical cord prolapse Transverse fetal lie (multiple gestations, non-reactive nonstress test, previous LTCS are of increased risk, but not contraindications in themselves)
500
Name five intrapartum indications for continuous fetal monitoring
Non-reassuring NST on admission Epidural Induction/ripening Vaginal bleeding Preterm/Post-dates (after 42 w) >24 hours after ROM Intrauterine infection/Chorioamnionitis Previous cesarean meconium staining of amniotic fluid
500
At what gestational ages is fetal fibronectin indicated to evaluate for preterm labor?
What is 22w to 34 6/7 weeks.
500
If you are unfortunate enough to have a prolapsed cord on your hands (ha ha), what do you do?
Keep your hand in the vagina, elevate baby's head, get help, place patient in Trendelenberg and head for the OR for emergency C-section. (This is one reason never to to cervical exams alone.)
500
DR C BRAVADO
Define Risk Contractions Baseline RAte Variability Accelerations Decelerations Overall
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