Labour&Delivery
A patient is being admitted for induction. What should her bishop score be to be considered favourable?
The complication defined by high blood pressure and proteinuria
What is Pre-Eclampsia?
The normal baseline range for a fetal heart rate
What is 110-160bpm?
What cord samples are obtained after delivery?
Arterial Blood Gas, Venous Blood Gas, and Cord Blood for blood typing.
A baby's first bowel movement
Meconium
Decelerations that occur as a result of head compression
Early Decelerations
If the patient has polyhydramnios, what is she at risk for?
Cord Prolapse
The contraction characteristics that are monitored in labour
What is Duration, Frequency, and Intensity?
The term for the uterus returning to pre-pregnancy size
Involution
Hyperextension of all the toes with dorsiflexion of the big toe when the sole of the foot is stroked
Babinski Reflex
A patient is 8cm dilated and has the urge to push, she is in the:
First stage of labour, transition phase
What is it called when the placenta attaches too deeply in the uterus?
Placenta Accreta
Identify the baseline FHR and variability
What is 140/145bpm?
The three types of vaginal discharge after delivery
Lochia Rubra, Lochia Serosa, Lochia Alba
The main cause of hyperbilirubinemia in newborns
Hemolysis (breakdown of red blood cells)
What is the name of the tool used if a patient has a prolonged PPH despite interventions?
A Bakri Balloon
Shoulder dystocia
Concerning characteristics of this tracing
What is Fetal Tachycardia and Marked Variability
Immediate actions when a patient is unable to void 6 hours after delivery
Scan the bladder, insert foley catheter, keep foley inserted if over 1000ml of urine drained, and call MRP for an order
Describe the acronym HIE and the ideal treatment
Hypoxic-Ischemic Encephalopathy and Therapeutic Hypothermia
The ideal attitude and position of a fetal head in labour
General Flexion and Occiput Anterior?
Abnormal insertion of the cord that is not central on the placenta
What is Battledore's Placenta or Marginal Cord Insertion?
Describe this tracing:
What is Baseline of 145bpm with moderate variability and prolonged decelerations down to 70-100bpm for 2-3 minutes and contractions every 2-3minutes lasting 80-100seconds?
A patient presents to the ER 5 days after delivery with foul-smelling lochia, and a fever of 38.5 C. What is the most likely diagnosis?
Endometritis
At 1 minute after birth, a newborn's HR is 130bpm, breathing is slow and irregular, is pink with blue hands and feet, has flexed limbs, and some response to stimulation noted.
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