Labor
The first-line maneuver for shoulder dystocia
What is the McRoberts maneuver with suprapubic pressure
→ These reposition the maternal pelvis and dislodge the impacted shoulder.
The drug that prevents eclampsia in severe preeclampsia?
Bonus $50: This happens to the baby when the mom receives this medication
What is Magnesium sulfate
→ Seizure prophylaxis
What is hypotonia
The first-line antibiotics for chorioamnionitis
bonus 50: The antibiotic choices that can be added to typical regime
What are Ampicillin and gentamicin
covering GBS, ecoli
What is clindamycin or metronidazole
cover for anaerobes
This is the most common cause of postpartum hemorrhage
What is uterine atony
→ Managed with oxytocin and massage.
This test confirms PPROM
What is the Nitrazine or ferning test
→ Pooling on speculum exam is also diagnosis
Define arrest of active labor.
What is no cervical change after 4 hours of adequate contractions
→ Requires cesarean delivery.
The blood pressure threshold for severe preeclampsia
≥160 systolic or ≥ 110 mmHg diastolic
→ ......2 occasions, 4 hours apart Plus organ dysfunction
A cause of fever and foul-smelling lochia postpartum?
What is endometritis
→ Common after cesarean. Treat with clindamycin + gentamicin. Polymicrobe: Staph, GBS, Gardnerella Vaginalis, Gram Negative, Enterococcus,Anaerobes
This causes painless third-trimester bleeding
What is placenta previa
→ Diagnose with ultrasound.
This is the best imaging test for placenta previa
What is transabdominal ultrasound
The station where operative vaginal delivery contraindicated
What is -3 station
→ Head must be engaged (+2 or lower).
The main treatment for HELLP syndrome
What is deliver the baby
→ and add Magnesium Sulfate for Seizure prophylaxis
This mechanism through which this infection causes a blueberry muffin rash
What is extramedullary hematopoiesis in Congenital CMV
→ Diagnose with saliva or urine PCR, also associated with hearing loss
This twin complication presents with discordant fluid levels
What is twin-twin transfusion syndrome
→ Occurs in monochorionic twins.
This is how fetal anemia diagnosed in Rh disease
What is the middle cerebral artery (MCA) Doppler
→ Measures increased velocity.
The upper limit of latent phase in a nulliparous woman
What is 20 hours
→ No intervention unless no progress.
These are the safe antihypertensives in pregnancy
Bonus 50:
what do the contraindicated antihypertensives
What are Labetalol, nifedipine, methyl dopa
→ Avoid ACE inhibitors and ARBs. These can interrupt fetal renal development, leading to oligohydramnios, leading to _ _ _ _ E _'s _E_ _ EN _ _ which is associated with what in the infant:
This TORCH infection causes hydrocephalus and intracranial calcifications
Bonus: 100
Intracranial calcifications: Toxoplasmosis
as _________ : CMV
What is Toxoplasmosis
→ From undercooked meat or cat feces.
What is Periventricular
CMV
This fetal risk is increased in gestational diabetes
What is macrosomia
→ Raises shoulder dystocia risk.
This is the gestational diabetes screening performed
What is 24–28 weeks
→ Start with 1-hour GTT.
The condition causes sudden fetal bradycardia, abdominal pain, and cessation of contractions in labor
What is Uterine rupture
→ Urgent laparotomy is needed.
This is the most common cause of postpartum fever after cesarean delivery
What is Endometritis
This prenatal infection causes limb hypoplasia
Congenital varicella syndrome
→ Occurs from maternal VZV infection before 20 weeks.
This condition presents with pruritus and high bile acids
What is i ntrahepatic cholestasis of pregnancy
→ Manage with delivery at 37 weeks.
This ultrasound pattern suggests molar pregnancy
What is snowstorm appearance
→ Caused by hydropic villi.