Bump in the Road
This supplement reduces the risk of neural tube defects by up to 70%
folic acid
A 2nd degree perineal tear involves these structures
transverse perineal muscle, bulbocavernosus muscle, pubococcygeus muscle (fascia/muscles of the perineal body)
This is the classic triad of HELLP syndrome
Hemolysis, Elevated liver enzymes, Low platelets
This is the most common cause of early pregnancy loss
chromosomal abnormalities
Name the 4 Ts of PPH
tone, tissue, trauma, thrombin
The uterus reaches the umbilicus at this gestational age
20 weeks
This fetal heart rate variability range is considered normal (in bpm)
6-25bpm
This antiepileptic drugs is most associated with neural tube defects
valproic acid
This fetal heart rate tracing pattern suggests umbilical cord compression
variable decelerations
A bishop score > or equal to ______ is considered favourable for induction
6
When this ultrasound measurement is low, you suspect oligohydramnios
AFI/AFV
Name the 3 classic signs of placental separation
firm fundus, gush of blood, cord lengthening
This is why you avoid ACEi in pregnancy
risk of fetal renal agenesis -> oligo -> demise
This is the reason why you give corticosteroids before preterm delivery
fetal lung maturation
This is the optimal position of the baby's head for delivery
occiput anterior
This is the target BP for someone with gestational hypertension
<140/90
This is the first line treatment for eclampsia
MgSO4
This is the glucose challenge threshold to proceed to GTT
7.8
Name an indication for delivery in a growth-restricted fetus
absent/reversed EDF in umbilical artery, reversed flow in ductus, worsening dopplers, BPP <8
This type of deceleration is associated with uteroplacental insufficiency and requires intervention
late decelerations
Name two absolute contraindications to physical activity in pregnancy
PPROM/PTL, unexplained persistent vaginal bleeding, placenta previa >28 weeks, PET, incompetent cervix, IUGR, high-order multiples (triplets), uncontrolled type I DM, HTN, or thyroid disease, serious cardiovascular, respiratory or systemic disorder
These are the 7 cardinal movements of labour
Engagement, descent, flexion, internal rotation, extension, external rotation (restitution), expulsion
This is the most common cause of neonatal hypoglycemia in a diabetic pregnancy
Fetal hyperinsulinism
This infections presents with hydrops, anemia, and ascites in utero
Parvovirus B19
This is the most common cause of uterine atony
overdistention of the uterus