Undercooked turkeys | Ticking bombs | Protocols | Stunt moves | Wrinkly loud potatoes |
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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.
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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.
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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.
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What is Skin-to-skin contact with the mother
This is the best method of healthy infant warming
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What is Corticosteriods
This class of medications is given in order to speed fetal lung maturity
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What is delivery of the fetus
This is currently known to be the only definitive cure for preeclampsia
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What is Magnesium 2grams/hour
This is the drug and maintenance infusion rate for treatment of preterm labor
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What is a fundal massage
You will do this when your patient has delivered and is exhibiting profuse bleeding
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What is 21% FiO2
Infants 35 weeks of gestation or greater should receive this percentage FIO2 if PPV is required
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What is Magnesium toxicity
Symptoms consistent with this adverse effect will prompt the provider to turn off a drip used to stop preterm labor.
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What is 5-15%
This is the global incidence percentage of all pregnancies that result in preeclampsia
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What is Midazolam 0.1mg/kg IV/IO q2min
You will use this drug and dose for eclampsia refractory to your 1st line drug
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What is Leopold maneuvers
This maneuver is used to to palpate the gravid uterus systematically to determine position, presentation, and engagement
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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
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What are >6 contractions/hr with cervical changes
This is criteria that indicates consideration of tocolytic therapy
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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
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What are 20 minutes
This is the amount of time you will infuse the loading dose of your 1st line tocolytic
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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.
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What is malpositioning
This is the most common complication with UVC placement in approximately 20% of patients
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What is history of prior preterm deliveries
This is one of the strongest predictors of preterm birth
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What is eclampsia
This is preeclampsia accompanied by grand-mal seizure activity
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What is TXA and Vasopressors
Contact your medical director for approval to administer these two medications in a placental abruption
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What is 0.14 per minute
In severe shoulder dystocia, compression of the cord could drop fetal pH by this much
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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
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What is hyponatremia
Excessive administration of Oxytocin or hypotonic IVF to the mother can cause this electrolyte imbalance in the neonate at birth
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