First Stage of Labor
Name 3 potential risk factors for cord prolapse
PTD/SGA, multiple gestation, AROM, malpresentation, unengaged head
Describe 7 cardinal movements
Descent, flexion, internal rotation, extension, restitution, external rotation, expulsion
Brandt-Andrews maneuver via curve of Carus
PPH 250mcg IM SE diarrhea/fever, no asthma, CV, renal or hepatic disease
Which face presentation cannot be delivered vaginally
Mentum posterior
Describe posterior asynclitic position
Sagittal suture is closer to symphysis pubis (more head is posterior)
What is the definition of a prolonged second stage
More than 3 hours for a nullip and 2 hours for a multip
60 minutes not separated from uterine wall
Indication, dose SE and contraindication of IV Postpartum oxytocin
20-40 units (max 40u per L),
What medication would be given to a PEC w SF who is SOB and mag level of 8.1
Calcium gluconate 10ml of 10% IV administered over 3 minutes
What is considered adequate MVUs for active phase of labor
200-250 over 10m ave for 30m
Name 3 risk factors for shoulder dystocia
DM, obesity, hx SD, LGA/postdate, precipitous delivery, operative delivery, large weight gain,
Name 3 risk factors for retained placenta
PTD, chorio, hx cs, previa , grand multip
What is methergine's pharmacological name
Mehylergonovine
HELLP includes hemolysis, platelets <100, and these 3 elevated LFT
AST, ALT and bilirubin >1.2
Name 4 risk factors for abruption
HTN, AMA, hx abruption, trauma, ROM, cocaine/tobacco, chorio,
4 Ps of labor
Definition of PPH and most common cause
>1L within 24 h of birth or blood loss; ATONY
GBS prophylaxis for penicillin allergic (high risk)
Clindamycin 900 q8, Vanco 20mg/kg q8
The safest breech presentation to deliver vaginally is
Frank Breech
What is prolonged latent phase in a nullip per ACOG? Active phase?
16 hours. 6 cm+ROMw 4 h adequate ctx or 6h pit inadequate
BONUS POINTS
500
BONUS POINTS
DOUBLE SQUARE
Who is not a candidate for Nitrous Oxide in labor as a pain relief option
What is the indication and dosing for corticosteriods for preterm pregnant women
12 mg IM 2 doses 24h apart (24-33w6d) who are at risk of PTD within 7d