Hemorrhaging
The most common cause of postpartum hemorrhage
What is uterine atony
New onset of hypertension after 20 weeks gestation without proteinuria
What is gestational hypertension
What is diabetes that develops during pregnancy
What is gestational diabetes
What is a normal fetal heart rate
What is
110-160
This condition presents with painless bright red vaginal bleeding
What is placenta previa
The 4 major "T's" causing postpartum hemorrhage
What is Tone, Trauma, Tissue, Thrombin
Sustained blood pressure of 160/110 or higher meets criteria for
What is preeclampsia with severe features
What is the best way to tightly control a patient's glucose during labor
What is an insulin drip
What is considered bradycardia?
What is a fetal heart rate baseline below 110bpm
This obstetrical emergency occurs when the umbilical cord presents before the presenting part
What is a cord prolapse
This medication is our first-line treatment for postpartum hemorrhage
What is oxytocin
What is considered a mild range blood pressure
What is
Systolic 140-159
Diastolic 90-109
What is a risk during delivery of a diabetic patient?
What is a shoulder dystocia
What is the definition of an acceleration?
An abrupt increase in the FHR. Before 32 weeks gestation 10x10. After 32 weeks 15x15
Thid condition involves premature separation of the placenta and is associated with painful bleeding and a rigid abdomen
What is placental abruption
These are devices that may be used in the setting of postpartum hemorrhage
What is the JADA and Bakri
What are HELLP labs and which tubes do they go into
CBC (purple tube)
CMP/LDH (light green)
Protein Creatinine (clear urine tube)
What is an acceptable glucose for a newborn?
What is >45
What is a late deceleration?
This obstetric emergency involves the tearing of the uterine wall during labor in a patient with a prior c-section
What is a uterine rupture
This uterotonic is contraindicated in patients with hypertension
What is Methergine (bonus points for dose and route)
What labs are indicative of preeclampsia (inclue values)
What is:
PC ratio > 0.3
In the absence of proteinuria:
Hypertension plus:
Liver enzymes (more than twice the upper limit not accounted for by alternative diagnosis)
thrombocytopenia
renal insufficiency (creatinine more than 1.1 in the absence of other renal disease)
What are the 2 types of gestational diabetes and what is the difference between them?
What is:
GDMA 1: diet controlled
GDMA 2: Insulin dependent
What is a variable deceleration?
An abrupt decrease in FHR below the baseline. The decrease is at least 15 bpm lasting at least 15 seconds (but less than 2 minutes)
Sudden loss of fetal station may indicate this obstetrical emergency
What is uterine rupture