This is the estimated incidence of placenta accreta
What is 1 in 533 pregnancies
100
Patient has PCN anaphylaxis. These are the antibiotics and dosages that patient going to c-section would need per Vanderbilt's protocol
What are Clindamycin 900mg, Gentamicin 1.5mg/kg, Azithromycin 500mg
100
These produce phospholipids that produce surfactant
What are Type II pneumocytes
100
Asthma complicates this percentage of pregnancies
What is 4-8%
100
Mode of delivery for patient at 40 weeks with herpetic lesion seen at 36 weeks that has now resolved
What is vaginal
200
of the four intrapartum interventions discussed these are the ones that are thought to be effective. (Bonus: how are they effective?)
What are 1) Intraoperative cell salvage - using aspirators to remove blood from surgical field, filter and return it to patient; 2) Recombinant factor VIIa - binds to tissue factor and activates clotting cascade.
200
These are the PPROM antibiotics per Vanderbilt's policy
What are Ampicillin 2g IV q6h x 48h and Erythromycin 250mg IV q6h x 48h, then Amoxicillin 250mg PO q8h x 5 days and Erythromycin 333mg PO x 5 days
200
These are our three criteria for acceptable dating at 39 weeks
What are 1) Ultrasound <20 weeks, 2) Fetal heart tones present for 30 weeks, 3) 36 weeks since positive pregnancy test
200
This is the recommendation for pregnant patients receiving allergen immunization.
What is to continue on current maintence or drop down one level - not necessary to discontinue.
200
Approximately this many Americans have been infected with HSV
What is 45 million
300
This is new suggested ratio of FFP:platelets:PRBC
What is 1:1:1
300
This is how long before incision Ancef should be given in a c-section - and why
What is less than 60 minutes due to Ancef's half life of 2-3 hours.
300
Amniocentesis of both twins should be performed between weeks ____ and ____. However, it is okay to only perform amniocentesis on one twin after ____weeks.
What are 30 and 32; 32
300
These are the first line controller therapy for women with asthma in pregnancy
What are inhaled corticosteroids
300
These two test prove that a herpetic outbreak is primary
What are evidence of HSV in culture or PCR with no evidence of antibiodies to either viral strain?
400
Consider activation of massive transfusion protocol when patient is actively bleeding and any of these (6)
What are 1)SBP <90mmHg, 2)pH <7.1, 3)Base deficit > 6meq/L, 4)Temp <34 C, 5) INR >2, 6) Platelets <50,000
400
Patients with these cardiac conditions are candidates for endocarditis prophylaxis before vaginal delivery or c-section. (2)
What are cyanotic cardiac disease or prosthetic valves
400
This is the test and maturity value used at Vanderbilt
What is Fluorescent polarization with 55mg surfactant per 1mg of albumin?
400
On average __% of women with asthma have improvement and ___% have worsening
What are 23 and 30
400
Supression therapy for herpes and when it should start
What is acyclovir 400mg tid or valcyclovir 500mg bid starting at 36 weeks
500
Unlike ____, this is a test providing information regarding coagulation and transfusion requirements
What is coagulation analyses (PT, PTT, INR) and thromboelastogram
500
This is best antibiotic and dosage for prophylaxis for infective endocarditis
What is Ampicillin 2g
500
What are the different types of tests that can be used for fetal lung maturity? (6)
What are 1)Fluorescence polarization, 2) lecithin/sphingomyelin ratio, 3) phosphytidylglyecerol, 4) lamellar body counts, 5) optical density, 6) foam stability index
500
These are the three questions you should ask your patient to determine asthma severity
What are 1) symptom frequency, 2) nighttime awakening and 3) interference with normal activity
500
Approximately __% of neonatal herpes occurs in women without reported history of HSV infection