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Paging Dr. Murphy: L&D
100

This type of access is preferred for rapid volume resuscitation in an unstable pediatric patient

IO

100

The most common cause of maternal death worldwide

What is postpartum hemorrhage

100

In a crashing pediatric patient who is not breathing with a suspected tension pneumothorax, your first step would be _______                                 

Perform needle decompression

100

This condition, characterized by ground-glass opacities on CXR, is common in premature neonates with underdeveloped lungs.

What is Respiratory Distress Syndrome (RDS)

100

This maneuver is used to relieve a shoulder dystocia during delivery

What is the McRoberts maneuver

200

The IV/IO dose for Epinephrine in neonatal resuscitation is  

0.2ml/kg or 0.02mg/kg

200

What is the #1 cause of morbidity and mortality for women of New Mexico?

Sepsis

200

30-week gestation trauma patient arrives hypotensive with fetal bradycardia. This bedside maneuver should be performed immediately to improve uteroplacental perfusion.

What is left uterine displacement (or left lateral tilt)

200

A 4-month-old presents with nasal congestion, increased work of breathing, wheezing, crackles, and poor feeding after 3 days of upper respiratory symptoms. Cap refill is slightly delayed, and oxygen saturation is 88% on room air. This syndrome is most likely

What is bronchiolitis

200

This maternal condition, often asymptomatic, can cause neonatal sepsis, pneumonia, or meningitis if not treated during labor

What is Group B Streptococcus (GBS)

300

This is the most common pediatric lethal arrhythmia

Asystole

300

 A maternal BP of 160/110 with proteinuria indicates this critical OB condition

What is severe preeclampsia

300

A neonate is delivered via emergent C-section after maternal eclampsia and presents with poor tone and no respiratory effort. This is the immediate procedural intervention

What is positive pressure ventilation (PPV)

300

This virus is the most common cause of bronchiolitis in infants under 1 year old

RSV

300

A laboring patient suddenly develops shortness of breath, hypotension, altered mental status, and massive bleeding. What is the most likely diagnosis?

What is amniotic fluid embolism (AFE)

400

Your pediatric patient requires an Epi 'spritzer' aka PDP. Your patient weighs 13kg. How much EPI do you put in a 10ml syringe?

1.3 ml, or .13mg

400

A pregnant patient with fever, tachycardia, uterine tenderness, and fetal tachycardia is likely experiencing this infection

What is chorioamnionitis

400

The antidote for Mag toxicity is _________ _________ and the dose is ___________.

Calcium gluconate 1gm IV 

400

This electrolyte abnormality occurs in dehydrated infants due to poor feeding

What is hyponatremia

400

Maternal diabetes increases the risk of this neonatal metabolic disturbance after birth

What is neonatal hypoglycemia

500

A term neonate delivered via vacuum assistance presents with lethargy, seizures, a bulging fontanelle, and a midline shift on imaging. What do you see on imaging?

Severe neonatal subgaleal hemorrhage

500

This cardiac condition presents with dyspnea, fatigue, and signs of heart failure late in pregnancy or postpartum

What is peripartum cardiomyopathy

500

Daily Double!

To decrease the incidence of death or disability in infants, CST can provide cooling therapy during transport. This infant has the following S/S: Cord prolapse SVD at 36 5/7 weeks, 2 hours of life, apgars 2 410 415, initial pH 6.8. Does this patient meet HIE cooling therapy guidelines?

500

Bruising in these three areas in a non-mobile child should raise concern for abuse

What are the torso, ears, and neck (TEN-4 rule)

500

A mother with a history of cocaine use during pregnancy presents with sudden, severe abdominal pain and vaginal bleeding. Fetal heart tones are absent on ultrasound. What is this condition?

What is placental abruption leading to fetal demise