PTL/PPROM
Placental Complications
Intrapartum Emergencies
High Acuity, Low Frequency Events
Grab Bag :)
200

This corticosteroid is administered to enhance fetal lung maturity.

What is betamethasone (BMZ)?

200

This delivery method is typically required in cases of complete placenta previa.

What is a c-section?

200

This condition is suspected when a loop of umbilical cord is visible or palpable at the vaginal opening. 

What is cord prolapse?

200

The time given to do each maneuver during a shoulder dystocia. 

What is 30 secs?

200

Hemabate is a uterotonic agent that causes contraction of smooth muscle. It can lead to bronchoconstriction of the airways so it is contraindicated in patients with this condition. 

What is asthma? 

400

Magnesium sulfate is given to women in preterm labor before 32 weeks to provide this fetal benefit.

What is neuroprotection?

400
Maternal risk factors such as chronic hypertension, trauma to the abdomen (falls, MVAs), and substance abuse (cocaine) can increase the risk of this condition.  

What is placental abruption?

400

To relieve pressure off the cord, a gloved hand is used to elevate the presenting part of the fetus in this direction. 

What is upward? 

400

This maneuver involves the mother hyperflexing her legs tightly to her abdomen to widen the pelvic outlet. It is used during what complication?

What is McRoberts maneuver, shoulder dystocia?

400

The "Four Ps" of labor refer to the four key factors that influence the birth process. These factors interact and can affect the progression of labor.

What is Power, Passenger, Passage, and Psyche?

600

A procedure where a stitch is placed around the cervix (the neck of the uterus) to help keep it closed during pregnancy, especially when there's a risk of premature birth or miscarriage due to an incompetent cervix.

What is a cervical cerclage?

600

Abruption can lead to this serious complication, characterized by widespread clotting and bleeding.

What is DIC (Disseminated Intravascular Coagulation)?

600

When a baby's presenting part is no longer palpable during a cervical exam, and previously it was notable. 

What is loss of station? 

600

The clinical sign characterized by the retraction of the fetal head toward the perineum following the delivery of the fetal head. 

What is turtle sign? 

600

During a massive transfusion, this element must be replaced after every fourth unit of blood product; It plays an important role in blood clotting and cardiac contractility. 

What is calcium? 

800

In the setting of PPROM, delivery is generally recommended at 34 weeks due to the risk of this maternal complication.

What is infection (ex: chorioamnionitis, sepsis)?

800

A serious complication where unprotected fetal blood vessels near the cervix can rupture, usually when the water breaks. The baby experiences rapid and severe blood loss, potentially leading to death.

What is Vasa Previa? 

800

Maternal risk factors such as TOLAC, prior uterine surgery (myomectomy), polyhydramnios, and multiple gestation (twins) can increase the risk of this condition. 

What is uterine rupture?

800

During an AFE, if the mother has not delivered yet, this maneuver will help prevent aortal-caval compression and improve blood flow to the mother. 

What is left uterine displacement?

800

Also known as the fetal ejection reflex, that involves a self-sustaining cycle of uterine contractions initiated by pressure on the cervix or vaginal walls, leading to oxytocin release and further contractions.

What is Ferguson Reflex?

1000

This tocolytic agent acts as a calcium channel blocker and may be preferred over beta-agonists due to fewer maternal side effects.

What is nifedipine? 

1000

This condition is considered when there's placental invasion into surrounding organs, most commonly the bladder.

What is placenta percreta?

1000

During a uterine rupture, it is likely that the fetal tracing can show the following three signs of fetal distress.

What is bradycardia, prolonged decels, and recurrent variable decels?

1000

An abnormal maternal response to fetal tissue, also known as Amniotic Fluid Embolism. This condition is believed to be an anaphylactic reaction triggered by the entry of amniotic fluid or fetal cells into maternal circulation causing cardiopulmonary collapse. 

What is Anaphylactoid syndrome of pregnancy (ASP)?

1000

In the presence of magnesium toxicity, this antidote (name) is administered as a 1-gram dose IV over (X) minutes. 

What is calcium gluconate; 2 minutes?