Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Obstetric management

Management of obstetric conditions

ProblemManagement
Reduced foetal movements Assess risk. USS for growth. CTG for ?distress.
?SROM Ask about contractions. If Hx suggestive, admit.
BP 150/90, no proteinuria in commnity Recheck BP and urinalysis twice a week. USS. Baseline investigations.
BP 170/110, no proteinuria in commnity Admit to hospital, manage as pre-eclampsia.
BP 130/85, ++ proteinuria in commnity Admit to hospital to investigate ?pre-eclampsia.
Symphysis-fundal height >2cm below dates USS for growth.
Antepartum haemorrhage Admit to hospital. CTG.
Transverse lie at 28 weeks Re-check at 37 weeks.
Oblique lie at 38 weeks Admit to hospital. USS.
Breech presentation at 37 weeks Refer for USS. Consider ECV.
Gestation at 42 weeks Offer sweep or induction. CTG daily if declines.
?polyhydramnios USS. ?anomalies and glucose if confirmed.
<10th centile at 32 weeks, UA doppler normal resistance Repeat USS and UA doppler fornightly.
<10th centile at 32 weeks, UA doppler severe resistance fetal Doppler, steroids and daily CTG.
<10th centile at 38 weeks, UA doppler normal resistance CTG and induce labour.
Admitted with BP 170/110, no proteinuria, 36 weeks Control BP with nifedipine and start methyldopa.
Admitted with BP 170/110, + proteinuria, 36 weeks Control BP with nifedipine and start methyldopa. Induce labour.
Admitted with BP 150/90 and seizures IV MgSO4. Test patellar reflexes to assess Mg toxicity.
Unsuccessful ECV at term USS to check presentation. LSCS.
Antepartum haemorrhage secondary to placenta praevia with shock Resuscitate mother. Activate major haemorrhage protocol. LSCS.
Antepartum haemorrhage ABCs. CTG. USS (exclude placenta praevia).
Painless antepartum haemorrhage Suspect placenta praevia. ABCs, investigations etc.
Pelvic pain and inconsistent PV bleeding Suspect placental abruption. ABCs, investigations etc.
Pre-term SROM Rule out infection. Prophylactic erythromycin. Steroids if <34 weeks. Induce at 36 weeks.
Pre-term SROM with fever and tachycardia Antibiotics, blood cultures. Deliver regardless of gestation.
Induction PGE2 if needed, then ARM. CTG.
CTG abnormality FBS, urgent LSCS if indicated.
pH 7.18 on FBS Urgent LSCS.
pH 7.23 on FBS Repeat in 30 minutes.
Collapse 2222 Obstetrics and anaesthesia on call. ABCs etc.
Postpartum haemorrhage ABCs, involve seniors. Deliver placenta if necessary. Oxytocics. EUA then laparotomy if necessary.
Pre-term delivery USS and CTG. Tocolysis. ABx. Phone neonatology.
Created by: s0911751
Popular Medical sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards