GHTN/Pre-E
This is the threshold of proteinuria for diagnosis of Pre-eclampsia
>0.300 on UPC or >300 on 24hr urine
This is the volume of blood loss required to qualify for a postpartum hemorrhage.
>1000mL
Greater than this dilation (cm) is considered active labor.
>6cm
This is the conservative discriminatory zone that you would expect to see and IUP
>3500
This age is when you should begin screening for cervical cancer with pap smears.
Age 21
These are the lab values that are considered severe features of Pre-eclampsia
Platelets <100k, LFT's 2x upper limit of normal, Cr. >1.10 or twice baseline
This uterotonic is contraindicated in patients with history of asthma
Hemabate
Name the resuscitative measures for a category 2 tracing
- Stop Pitocin
- Maternal repositioning
- IVF bolus
- Amnioinfusion
- O2 supplementation
This is the medical management of ectopic pregnancies (medication and dosage)
Methotrexate 50mg/m² IM,
This is the area between mature squamous (ectocervix) and normal columnar (endocervix) cells that is tested with a pap smear
Transformation zone
This medication is given to patient with Pre-eclampsia with severe features (medication and dosage) for seizure prevention
Magnesium 4g bolus with 2g/hr maintenance
6g bolus for gestations <32wks for fetal neuroprotection
This uterotonic is contraindicated in the setting of poorly controlled blood pressures
Methergine
Definition of tachysystole
>5 contractions in a 10 minute time span averaged over 30 minutes
Most common location of ectopic pregnancy
Ampullary portion of the fallopian tube
This screening should be done every 1-2 years starting at age 40 OR every 2 years between 50-74
Mammography
What is criteria (definition) for Gestational HTN
BP's >140/90 (greater than or equal to) on 2 different occasions 4 hours apart after 20 weeks GA
and No other symptoms of preeclampsia
The 4 T's of postpartum hemorrhage
- tone
- tissue
-trauma
-thrombin
The minimum Bishop score at which a cervix is considered favorable
Eight
These US findings are consistent with an IUP and ectopic pregnancy can be reasonable ruled out
Gestational sac with yolk sac +/- fetal pole
Cannot completely exclude heterotopic pregnancies
Location of ureter in relation to the uterine artery
Inferior
"water under the bridge"
If your patient becomes Magnesium toxic this med is given as an antidote
Calcium gluconate 1 gm IV push over 7-10 min
The four uterotonics used in PPH and their dosing
Hemabate (250mcg IM q15-90min with 8 dose max), Methergine (0.2mg IM every 2-4h), misoprostol (600- 1,000 mcg oral, rectal, or vaginal once), pitocin (10-40U IV or 10U IM)
Three signs of placental separation
Elongation of the cord, globular uterus or uterine rebound, gush of blood
Name at least four absolute contraindications for methotrexate in the setting of ectopic pregnancy.
IUP, Immunodeficiency,moderate to severe anemia, leukopenia or thrombocytopenia, Active pulmonary disease, active peptic ulcer disease, clinically important hepatic dysfunction, clinically important renal dysfunction, breastfeeding, ruptured ectopic, hemodynamically unstable, inability to follow up
relative: cardiac activity, high hCG, >4cm, refusal to accept blood
The uterine artery is a branch of what major vessel
Anterior division of the Internal iliac artery