Bonus round






Undercooked turkeys Ticking bombs Protocols Stunt moves Wrinkly loud potatoes
What is preterm labor
Occurring at 20-37 weeks of gestation this condition precedes almost half of preterm births and is the leading cause of neonatal mortality in the U.S.
What is Preeclampsia
This is a disorder of widespread endothelial malfunction and vasospasm that generally occurs after 20 weeks gestation and sometimes up to 6 week post-partum.
What is infants <28days old

Infants less than this age will need to be screened by Company Medical Control for appropriateness of air transport
What is McRobert’s maneuver
Patient’s legs are flexed and hips are abducted. This position flattens the sacral promontory and results in cephalad rotation of the pubic symphysis. It is also believed to relieve more than 40% of all shoulder dystocias and over 50% when combined with suprapubic pressure.
What is Skin-to-skin contact with the mother
This is the best method of healthy infant warming
What is Corticosteriods
This class of medications is given in order to speed fetal lung maturity
What is delivery of the fetus
This is currently known to be the only definitive cure for preeclampsia
What is Magnesium 2grams/hour
This is the drug and maintenance infusion rate for treatment of preterm labor
What is a fundal massage
You will do this when your patient has delivered and is exhibiting profuse bleeding
What is 21% FiO2
Infants 35 weeks of gestation or greater should receive this percentage FIO2 if PPV is required
What is Magnesium toxicity
Symptoms consistent with this adverse effect will prompt the provider to turn off a drip used to stop preterm labor.
What is 5-15%
This is the global incidence percentage of all pregnancies that result in preeclampsia
What is Midazolam 0.1mg/kg IV/IO q2min
You will use this drug and dose for eclampsia refractory to your 1st line drug
What is Leopold maneuvers
This maneuver is used to to palpate the gravid uterus systematically to determine position, presentation, and engagement
What is 1 week and up to 14 days
The umbilical vein remains patent and viable for cannulation until approximately this period of time has elapsed after birth
What are >6 contractions/hr with cervical changes
This is criteria that indicates consideration of tocolytic therapy
What is preeclampsia with severe features
This complication occurs in 25% of all cases and is characterized by neurological symptoms and may lead to liver and renal failure in extreme cases. It may include neuro symptoms and severe hypertension >160/110
What are 20 minutes
This is the amount of time you will infuse the loading dose of your 1st line tocolytic
What is bladder filling with 500-700ccs of fluid
Manual elevation and this procedure known as Vago’s method are the most commonly used maneuvers for optimal treatment of umbilical cord prolapse.
What is malpositioning
This is the most common complication with UVC placement in approximately 20% of patients
What is history of prior preterm deliveries
This is one of the strongest predictors of preterm birth
What is eclampsia
This is preeclampsia accompanied by grand-mal seizure activity
What is TXA and Vasopressors
Contact your medical director for approval to administer these two medications in a placental abruption
What is 0.14 per minute
In severe shoulder dystocia, compression of the cord could drop fetal pH by this much
Evaporation through the skin (two thirds vs. one third via resp tract)
Insensible water loss (not readily measured) in neonates occurs mainly via this route
What is hyponatremia
Excessive administration of Oxytocin or hypotonic IVF to the mother can cause this electrolyte imbalance in the neonate at birth

OB/PHNRP Grand Rounds

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