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BASELINE FHR The normal FHR range is between 120 and 160 beats per minute (bpm). The baseline rate is interpreted as changed if the alteration persists for more than 15 minutes. FHR VARIABILITY Prematurity decreases variability therefore, there is little ra...

Lab values in Pregnancy

The Bishop score may be used to rate the readiness of the cervix for labor.  Scores ≤ 5 suggest an unfavorable cervix, and that induction may be necessary for successful vaginal delivery. Scores 6-7 do not definitively predict whether or not induction will b...

Definition 3 or more consecutive preg losses before 20wk gest or after 2 consecutive losses, esp if age >35 y.o Evaluation Determine actual gestational age at time of miscarriage rather than time of onset sx Ask about hx of thrombosis or prev fetal death, ...

Definition Nausea and vomiting in pregnancy that significant enough to cause dehydration, metabolic alkalosis, ketonuria, weight loss (>5%), hypokalemia Risk Factors Multi gestation, Family history or personal hx in prior pregnancy Labs CBC, lytes, UA, TS...

Definition Chronic HTN: SBP greater equal to 140 or DBP greater equal to 90 prior to 20 weeks or persisting longer than 12w post partum Gestational HTN: SBP greater equal to 140 or DBP greater equal to 90 after 20 weeks with or without proteinuria Pre-eclam...

Appropriate candidates Hx 1-2 C-section via low transverse hysterotomy.  Inappropriate candidates Previous classical or T-incision, prior uterine rupture, extensive transfundal uterine surgery (ex: myomectomy), and patient with any contraindication to vagin...

Review gestational dating AFI/BPP and NST at 41 weeks and repeat once to twice a week Consider membrane stripping at 39 weeks Consider induction at 41 weeks and cervical ripening agents

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...

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...

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)

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...

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...

AHA

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...

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...

AHA

AHA