McMaster & fetuses
The convenient rule of thumb for estimating gestational age by the size of the woman's baby bumb.
What is: the fundus is at the umbilicus at ~20 weeks of age?
HELPERS and its use:
What is shoulder dystocia treatment?
Anticipation (always expect it and review mnemonic).
2. H – Call for Help early.
3. E – Evaluate and Explain.
4. L – Legs (McRoberts Maneuver) – flex maternal
hips, with abduction and external rotation (straightens LS lordosis, which flattens sacral promontory).
5. P – Suprapubic Pressure (continuous, then rocking like CPR).
6. E – Consider Episiotomy.
7. R – Removal of posterior arm, Rotatory (Rubin,
Woods Screw and Reverse Wood’s Screw), Roll to
all fours, and Repeat.
8. S – Shoulder Shrug Maneuver (*NEW)
The unique characteristic of the
uterine muscle that enables it to maintain its shortened length following
successive contractions.
What is Myometrial retraction (brachystasis)?
The normal onset of male puberty
What is between 9 years and 13.5 years
(average 11.5 years).
What is pore functions, Inhibits phagosome/lysosome fusion, Prevents neutrophil
degranulation, Prevent activation of
complement
The most significant initial prenatal test.
What is syphilis screening?
Requiring only lifestyle changes
What is A1GDM?
The treatment for lactational mastitis
What is Dicloxacillin or Cephalexin and encourage breast feeding from the affected breast?
Absence of menstruation by 16 y/o
What is primary amenorrhea?
Culture on Thayer-Martin medium) and NAAT(gold standard) are most useful in identifying asymptomatic infection
Matrix-assisted laser desorption ionization (MALDI) mass spectrometry can be used for definitive identification
The timing of a prenatal ultrasound
What is 16-20 weeks?
The most ideal birthing presentation
What is occiput anterior?
the probability of achieving a pregnancy in a single
menstrual cycle with adequate sperm exposure and no contraception that results in a live birth.
What is fecundability?
Most commonly abused substance in teens
What is alcohol?
The difference between reticulate bodies and elementary bodies
What is elementary bodies are for infecting other cells, reticulate bodies are the replication form of the infection.
The difference between a threatened and inevitable abortion?
What is dilation of cervix?
What is
1. Head floating
2. Engagement and descent
a) Flexion
b) Internal rotation
3. Complete rotation
4. Extension
5. Restitution with external rotation (natural position
of fetal head and neck)
6. Expulsion
To check tubal patency
What is hysterosalpingogram?
Gardasil protects from this
What is HPV (6,11,16,18,31,33,45,52,58)?
Encode enzymes (DNA polymerase) that promote viral
DNA replication and are good targets for antiviral
drugs.
What is herpesviridae?
- Uterine size > EGA
- Beta HCG levels greater than expected for EGA
- POCUS:
o Absence of fetus
o Cluster of grapes appearance
What is molar pregnancy?
Maternal Pelvis Types
What is:
• Gynecoid (most women and easiest deliveries)
• Platypelloid (transverse arrest)
• Android (male-like, and prejudicial to all deliveries due to narrow outlet)
• Anthropoid (long narrow cavity which tends to cause persistent OP delivery)
Major risk of developing this after infertility treatment
What is ectopic pregnancy?
Important lab test to determine PCOS as the cause for amenorrhea
What is FSH? (Normal levels = PCOS)
HHV 5
What is rubella?