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UWISE Notes on the OB/GYN Shelf
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UWISE Notes on the OB/GYN Shelf
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What are the methods which can be used to confirm a suspected Rupture of Membranes
(for a patient in Triage)?
Give this one a go later!
1. Examine vaginal fluid for FERNING
2. Nitralizine Test of vaginal fluid
, Do NOT perform a digital examination for fear of introducing more bacteria into
the Uterus.
Chorionic Villus Sampling is performed at what (GA)? What can you determine from this
test?
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Usually performed @10-12 wks GA by sampling the chorionic
fundosum by either a transcervical or transabdominal approach.
This will allow you to evaluate:
Karyotype
Cystic fibrosis
will NOT detect neural tube defects or omphalocele
Patient PRIVACY is the RESPONSIBILITY of who?
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The responsibility of the Physician = physicians can be fined and/or assessed for
ciminal penalties for violating the privacy a patient's protected health information.
When attempting to place an IUPC there is a rush of 300cc of frank blood & amniotic fluid -->
What should you do next?
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, Remove IUPC
MOnitor fetus
Consider replacing IUPC if the fetal vitals are reassuring.
REMEMBER that in this scenerio you are concerned about Placenta
Abruption/Separation or UTERINE Perforation.
What are the MOST common causes of the following:
EARLY Decelerations
Variable Decelerations
LATE Decelerations
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EARLY Decelerations = HEAD COMPRESSION
Variable Decelerations = CORD COMPRESSION
LATE Decelerations = UTEROPLACENTAL Insufficiency (can't fix
this and will likely need to take to C/S)
What should you do beginning at 41 wks for a Postterm pregnancy?
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, Typically this involves:
2x/wk NST: to check for feta well-being
Amniotic Fluid volume evaluation (modified BPP)
Done b/c perinatal morbitiy and mortality increases after 41 wks.
When can Bariatric surgery be considered in a patient?
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When patient has a BMI > 40 or
B/w 35 & 39.9 w/ serious weight-related complications (HTN, DMII or severe
obstructive sleep apnea)
What is the MOST common form of inherited Mental Retardation?
Give this one a go later!
FRAGILE X Syndrome
Syndrome occurs in approx. 1:3600 males and 1:4000/1:6000
females
Remember that Down syndrome is VERY common, but this is NOT
USUALLY Inherited.
List all the potential causes of elevates Maternal serum AFP (alphafetoprotein).
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