Prenatal Care
40 weeks
The normal range of fetal heart rate during labor and delivery
110-160
This volume of blood loss defines postpartum hemorrhage (vaginal or cesarean delivery)
>500 mL after vaginal delivery; >1000 mL after CS
These are absolute contraindications to breastfeeding (name at least 2)
Active untreated Tb, active varicella infection, Maternal HIV, Active use of illicit drugs (supervised methadone tx OKAY), infant with galactosemia
Yellow > Orange > White
At this gestational age, a baby is considered Term
Definition of an accelerations by duration of change in heart rate
>15 bpm above baseline for >15 seconds (and <2 minutes)
FOR <32 WEEKS: >10 bpm for >10 seconds
Sheehan syndrome, a rare consequence of postpartum hemorrhage, comes from infarction of this organ following hypovolemic shock
Pituitary gland
After birth, this is when milk production really picks up
2-3 days after birth
There are this many colors of M&Ms in a regular bag
6
Anatomic survey by ultrasound is performed at this gestational age
18-20 weeks
Typical cause of a late deceleration
Uteroplacental insufficiency (VEAL CHOP!)
Abruption, diabetes, anemia, sepsis, post-term, hyperstimulated uterus
Painful bleeding with contractions and fetal distress in the third trimester is most suspect for this condition
Placental abruption
This is the first line treatment for mastitis
Dicloxacillin or cephalexin (for staph coverage)
This is America's favorite Halloween candy
Reese's peanut butter cup
At what gestational age can we start measuring the height of the uterus above the pubic symphysis to correlate with weeks of gestation
20 weeks
You see a variable deceleration on the monitor that doesn't resolve with maternal repositioning, you're considering this next step
Amnioinfusion
In a pregnancy patient with mild von Willebrand factor deficiency, this is the reason we probably don't need to treat it
Pregnancy naturally increases vWF and other clotting factors! Watch out for PPH though, these pts are at much higher risk for postpartum bleeding up to 6 weeks.
This is the difference between breast milk jaundice and breast feeding jaundice
Breast milk jaundice - too much feeding, benign hyperbilirubinemia, after first week of life, self-limited
Breast feeding jaundice - too little breast milk = dec fluid and calorie intake leading to hyperbilirubinemia, first week of life, tx w/ supplementation
This was the highest-grossing horror film of all time
It (2017)
To determine fetal lie, this method is used to palpate the abdomen in four sequential steps
Leopold's maneuvers
The five measurements of fetal well being in a Biophysical Profile (BPP)
Fetal breathing, Gross body movements, Fetal tone, Amniotic fluid volume, Nonstress test (NST)
the Kleihauer-Betke test measures this
fetal red blood cells in maternal circulation, used to dose RhoGAM in Rh-negative pregnant patients
If a postpartum patient who is breastfeeding presents with mastitis, they should not stop doing this!!
Breastfeeding!
This US state produces the highest volume of pumpkins annually
Illinois