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Gestational Diabetes
Universal screening start at 24-248 weeks. Consider screening earlier in all women with BMI >25 and one or more risk factors: Physical inactivity 1st degree relative with DM High-risk ethnicity (AA, Latino, NA, Asian, Pacific Islander) Previous GDM or pre...
Twins
At risk for hyperemesis, GDM, HTN, hemorrhage, cesaeran, postpartum depression, preeclampsia, preterm delivery, IUGR, birth/genetic defects Pre-term labor education Fetal kick count starting at 28 weeks (10 kicks/movement within 2hrs or less) NST weekly sta...
ER precautions in Term Pregnancy
Regular painful contraction every 5 minutes (nulliparous) or every 10 minutes (multiparous), or sooner if long distance to hospital or history of precipitous delivery Rupture of membrane Vaginal bleeding No or decreased fetal movement (<10 kicks in 2hrs)
Medication in Obstetrics
Minimize all medication use during pregnancy (especially in 1st TM), unless clearly indicated! FDA pregnancy categories A: No risk in controlled human studies B: No risk in controlled animal studies and no risk seen in humans C: Small risk in controlled an...
Developmental Milestones
Newborn Social Language and Self-help: Has periods of wakefulness; looks at parent's eyes when being held Calms when picked up Verbal Language: Communicates discomfort through crying and behaviors such as facial expressions, body movements Moves or calms...
VFib/Pulseless VT/Asystole/PEA
AHA
USPSTF screening
Abdominal Aortic Aneurysm: Screening: The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked. Asymptomatic Bacteriuria in Adults: Screening: pregnant persons The USPSTF...
Peds Inpatient Expectation
You will receive an email from valley children for the on-boarding package. Part of this package, you need to have also go to our employee health to get mask fitting because VCH using a different mask than the one we have at SAMC. On your first day, you will...
Bradycardia
AHA
Tachycardia
AHA