MCH guidelines | Waaaaaaaa! | You have 4 waiting in triage | Push it! | Should I call the fellow? |
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What is hemolysis, elevated liver enzymes, low platelets
HELLP stands for...
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What is NAS observation
96 hours observation
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Pregnancy test! (Or postpartum up to 6 weeks; otherwise they go to the ED)
Patient must have this positive test to be seen in triage
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What is 6 cm
Dilation active phase of stage I labor
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Previous preeclampsia, family history, primiparity, age >40, IVF, diabetes, obesity
Risk factors for preeclampsia name 3
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What is
Preeclampsia:140/90 (plus proteinuria) Preeclampsia with severe features: 160/110 (no need for proteinuria) Severe features: creatinine doubled from baseline or greater than 1.1; headache or blurred vision; transaminases doubled; severe epigastric or RUQ pain; thrombocytopenia with platelets less than 100k; pulmonary edema
Antepartum blood pressure for preeclampsia and preeclampsia with severe features
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8 times (About every 3 hours)
Minimum amount of times that a baby should feed in a 24 hour period
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What is trichomonas, bacterial vaginitis, canidida
Infections that vaginal pathogen panel tests for
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What is HELPERR
Help! Evaluate for Episiotomy Legs- McRoberts Suprapubric pressure Enter: rotational maneuvers Remove posterior arm Roll patient on hands and knees
Mnemonic for shoulders dystocia
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Rh status! May need Rhogam
32 year old female at 12 weeks who presents with vaginal bleeding. she has not had any prenatal care. The lab to get.
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What is 150/100
definition of well controlled postpartum blood pressures
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What is ampicillin and gentamicin
Empiric treatment for neonatal sepsis
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What is pooling, nitrazine positive, pooling positive
The three signs of SROM
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What is methergine
Medication for postpartum hemorrhage to not give to hypertensive patient
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What is active labor in patient with pregestational diabetes or gestational diabetes
Indications for starting insulin drip
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48 hours
Duration of monitoring of baby born >37 weeks to a mother with unknown GBS status
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0.2 or greater
IT ratio when you would need to be concerned about sepsis
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Doxylamine or vitamin B6 or ginger
One of the first line treatments for hyperemesis gravidarum
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What is tone, trauma, tissue, thrombin
The 4 Ts of postpartum hemorrhage
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What is nifedipine
First choice of tocolytic in preterm labor
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10 or greater
COWS score would you think of starting Subutex in a pregnant woman in moderate withdrawal
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What is familial porphyria
The single contraindication for phototherapy for newborns
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What is sensitivity is 41% and specificity is 86%. Fetal fibornectin is a test for assessing for preterm labor within 2 weeks. Not useful if positive. High negative predictive value. Must be used 24-36 weeks.
Sensitivity and specificity ( within 10%) of fetal fibronectin
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What is DR C BRAVADO
Define Risk Contractions Baseline Rate Variability Accelerations Decelerations Overall assessment ( category I,II,III)
The mnemonic for interpretation of fetal heart tracings
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Call the fellow, add to beta book
The next step before they leave if they have a positive hCG with nothing in the uterus on ultrasound
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