Fibrinogen level consistent with DIC
<200 is 100% predictive of DIC (but you cannot rely on 1 single lab value.. need to see low plts, high PT/PTT and elevated d-dimer)
Diagnositic Criteria for endometritis?
2 of the following
Fever >38°C
Uterine tenderness with no other cause
Purulent d/c from uterus
Arterial cord blood represents ____ metabolism
fetal
Describe the difference between a + and a - base deficit value?
+ = metabolic alkalosis
- = metabolic acidosis
Looks like he says, "I'm not worried," right before everyone becomes worried.
Looks like she'd adopt a stray cat found behind Labor & Delivery and somehow convince the program director it was a wellness initiative.
Megan K
What gestational age can you use FFN at?
can be used from 22 wks - 34 6/7 wks
UTD does NOT get them in patients that are >34wks (they OBV pts >34wks for 4-6 hours)
3 maternal risks we worry about with PPROM for long term managment
Infection
Cord prolapse
Abruption
How long can clamped cord give accurate pH?
6o mins
Should codine or tramadol be given to breast feeding mothers? And why?
NO to both - converted to morphine and cause cause excessive sleepiness and respiratory supression and death
Has "quietly judging everyone's differential" energy.
Thu
Looks like the resident who quietly knows the obscure guideline everyone else forgot existed.
Susu
Name the 6 common causes of DIC in pregnancy
Placental abruption – 37 percent
Postpartum hemorrhage – 29 percent
Preeclampsia/eclampsia/HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – 14
Acute fatty liver – 8 percent
Amniotic fluid embolism – 6 percent
Pregnancy-related sepsis – 6 percent
What are the clinical criteria for chorioamnionitis aka intraamniotic infection?
Isolated maternal fever = Temp of 39.0C one time or 38-39C that persists after 30mins
OR
38.0-38.9C with one risk factor (called suspected intraamniotic infection)
Leukocytosis (> 15k in the absence of steroids UTD 2026)
Purulent drainage from cervix
Fetal tachycardia
In either case consider abx and tell Peds
Mean cord venous pH?
7.32-7.34
>60mg/day
Has "chaotic good" energy. The resident who somehow turns a disaster call night into a story everyone laughs about later.
Namoi
Has the smile of someone who just said, “That's interesting,” while internally recognizing a management decision that will create six extra hours of work.
mariya
Meds for III and doses? AND allergy options?
Amp 2g q6hrs and Gent 5mg/kg q24hrs (there are other regimens for gentamycin)
Mild Pen allergy? Cefazolin 2g q8hrs + Gent
Severe Pen allergy? clindamycin 900mg q8hr or vancomycin 1g q12hr and gent
Describe how to properly use an FFN to dx preterm labor...

Mean cord arterial pH?
7.24-7.27
Breast feeding should be ____ mins on one side and then _____ mins on the other
10-20 mins and then 5-10
Looks like she starts every shift saying, “Today will be a good day,” and then gets assigned four triages, two inductions, and a patient who brought a 300-page birth plan.
Nathan