By Samantha M. Pfeifer
NMS Obstetrics and Gynecology delivers clinically suitable content material in quick-review define layout for college kids engaged within the obstetrics and gynecology rotation. instances, questions, and a complete examination mix to supply extra aid, even if the coed is getting ready for the SHELF examination or USMLE Step 2. Differential prognosis and diagnostic checking out details is definitely seen for quick evaluation ahead of seeing a sufferer or proposing on rounds. The text's easy-to-navigate, two-color layout positive factors huge margins for note-taking.
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Extra resources for NMS Obstetrics and Gynecology (National Medical Series for Independent Study)
While a woman with abnormal glucose tolerance may be more likely to develop increase amniotic fluid volume (polyhydramnios), repeating prenatal labs and a one-hour glucose tolerance test now will not be helpful in confirming that the fundal height measurement is lagging. Sending a patient home without further work up for size less than dates would not be appropriate. 4. The answer is A [IIC4]. At term, induction of labor is indicated if there is no labor within 6 to 24 hours of rupture of membrane.
A) The high vascular resistance in the fetal lungs is greater than the aortic pressure, which diverts blood away from the lungs and into the ductus arteriosus and the aorta. The umbilical arteries deliver the blood from the aorta to the placenta for gas exchange. (b) Prostaglandins, such as prostaglandin E, play a role in maintaining patency of the ductus arteriosus. Prostaglandin inhibitors promote closure of the ductus. b. Circulatory adjustments to neonatal life. At birth, the lungs expand and the pulmonary vascular resistance decreases, which dramatically increases the pulmonary blood flow.
However, if her cycle is 35 days, then she probably ovulates on cycle Day 21. This would change her EDC. 4. Accurate dating of pregnancy is essential as clinical decisions are based upon the specific gestational age. B Naegele’s rule The EDC is determined by subtracting 3 months and adding 7 days to the first day of the last menstrual period (LMP). For example, if the LMP is July 15, then the EDC is April 22. This assumes a 28-day menstrual cycle with ovulation occurring on Day 14. C Ultrasound may be used to confirm or identify an EDC when the LMP is uncertain.